Program

0900 – 1200

Thomas V. Gocke III, MS, ATC, PA-C, DFAAPA and Lucy Yang, CCPA

Description

This workshop will provide attendees with the knowledge and skills to apply an acute care splint for injuries to the upper extremity utilizing fiberglass splint materials, manage potential splint complications and advise patients with appropriate splint care discharge instruction.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Demonstrate the appropriate application techniques for an acute care volar wrist splint  in a patient with Wrist-Hand-Finger trauma.
2. Demonstrate the appropriate application techniques for an acute care Thumb Spica splint  in a patient with thumb/radial-sided wrist  trauma.
3. Demonstrate the appropriate application techniques for an acute care Sugar-tong splint  in a patient with distal Radius/Forearm trauma.
4. Demonstrate the appropriate application techniques for an acute care Long-arm splint  in a patient with Elbow/Humerus trauma.
5. Demonstrate the appropriate application techniques for an acute care Coaptation splint  in a patient with proximal Humerus trauma.
6. Demonstrate the appropriate use of an upper extremity sling for Sugar-tong & Long-arm splints.
7. Provide patients with appropriate discharge instructions that outline splint care, signs for concern and appropriate follow up instructions.

PRESENTATION

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1300 – 1600

Jason Primrose

Description

Advanced airways are often critical for the management of critically ill patients. PA’s who work in acute or intensive care settings should be familiar with advanced airways, indications and contraindications of specific advanced airways, what can go wrong with them and how to troubleshoot problems.

Learning Objectives

1. Differentiate indications and contraindications for advanced airways selection.
2. Differentiate the benefits and risks of advanced airway placement.
3. Appraise the potential patient harm from inappropriate provider use of advanced airway devices.
4. Inspect for variable airway anatomy and predict the difficult airway and manage complicated use of advanced airway devices.
5. Prioritize selection and sizing for placement of an ET tube, LMA, and supraglottic airways in a clinical setting.
6. Practice placing advanced airways of various types, both non-assisted and using assisted laryngoscopy. Practice basic troubleshooting.
7. Understand superiority of assisted laryngoscopy versus direct for providers with limited intubation experience.

PRESENTATION

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1035 – 1125

Stephanie Schneider, CCPA and Jan A. Drutz, PA-C 

Description

Stephanie started her employment with the Northern Regional Health Authority four and a half years ago. She was the first PA in Manitoba’s Public Health System servicing 26 northern and remote communities, more than 800km from a tertiary centre. Since 2013 they have added another PA in both The Pas and in the clinic in Thompson, they have also had another work in satellite locations in a community hospital. At this time they occupy roles as hospitalists, emergency medicine, cancer care, primary care, surgical assist and isolated locales. Familiarity with the PA role is finally becoming more recognized and utilization of them in nursing stations has started to become a dialogue that upper levels of management are excited to consider.

Northern Manitoba has some of the highest rates of TB in the developed world, highest rates of MRSA in Canada, a devastating community presence of chronic disease processes such as diabetes, and a suicide epidemic among youth that has been the centre of a 5th estate documentary in the past year. People continually suffer from the lack of access to continuous primary care and the current infrastructure/budgets don’t reflect a paradigm shift despite the ongoing dialogues demonstrating the consequences of healthcare resource paucity. Recruitment and retention is very low due to the demanding workloads imposed upon physicians, the vast majority being IMG’s who step up to do work that Canadian physicians generally do on a locum basis.

One of the largest communities for example has a population of 7,000 people with a nursing station that has 1-2 physicians, 5-6 nurses, and only POC labs and diagnostics.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Analyze community and population health demographics
2. Discuss health professional resources for healthcare aides, nurses, and physicians
3. Propose supportive integration of the PA profession as a healthcare resource to benefit the healthcare funding and infrastructure models, as well as provide physician support.
4. Analyze PA professional preparation needed for healthcare system integration.
3. Propose adaptation of healthcare guidelines in support of PA professional supportive integration in marginalized communities.

PRESENTATION

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1045 – 1215; 1245 – 1345

Thomas V. Gocke, III, MS, ATC, PA-C, DFAAPA

Orthopaedic Educational Services Inc.

Description

This workshop will develop the attendees’ ability to recognize normal radiographic anatomy of the Foot and use this when assessing injury radiographs. Using clinical cases, attendee’s will possess the ability to recognize common injuries of the Calcaneous, Mid-foot, Metatarsals and Toes.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Accurately communicate normal radiographs of the foot to patients and supervising physician(s).
2. Describe the diagnosis and demonstrate the management techniques for a primary care patient with Plantar Fasciitis.
3. Describe the diagnosis and demonstrate the management techniques for a primary care patient with Retrocalcaneal bursitis.
4. Describe the diagnosis, employ physical examination techniques and demonstrate the management for a primary care patient with a Calcaneous fracture.
5. Describe the diagnosis and demonstrate the management for a primary care patient with a Lis-franc injury.
6. Describe the diagnosis and demonstrate the management for a primary care patient with a 5th Metatarsal base fracture.
7. Describe the diagnosis and demonstrate the management for a primary care patient with Metatarsal shaft fracture(s).
8. Describe the diagnosis and demonstrate the management for a primary care patient with Toe fractures/dislocations.

PRESENTATION

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1245 – 1335

Jeffrey Harnden, CCPA, BA honors kinesiology/biology, Master degree of PA studies

Description

Learn an approach to recognizing, investigating and managing common post-operative complications of general surgery with focus on infection and shock. Special attention will be made regarding bedside observation/exam and history as well as interpretation of blood work and vital signs to rule in/out potentially serious complications. Organize your differential diagnosis to determine the source of abnormality, initial management and further investigation, if necessary. Recognize when, what, and where to refer and gain a basic approach to medical management.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Develop an approach to rounding on surgical patients, with emphasis on general observation, bedside physical exam, recognition of peripheral lines and drains, and changes in vital signs.
2. Develop a dynamic differential for common abnormal labs and vital signs.
3. Recognize and have an approach to the initial management of septic shock.
4. Identify the concept and risk factors of anastomotic leaks with main focus on the bowel.

PRESENTATION

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1245 – 1335

Kerubo Workman, BScN, RN, BHSc-PA, CCPA

Description

Hypothesis: The incidence of colorectal is increasing in young adults between ages 19-45. Methods: This study was a review of literature on the incidence of colorectal cancer in young adults in the past 10 years. A search was done using the NIH PubMed database. Most relevant paper were reviewed. Results: The final search identified 122 articles from which 11 studies were selected for analysis. There is an increasing incidence of colorectal cancer in young adults. Conclusion: There has been a significant increase in the incidence of colorectal cancer in young adults. Further studies should be done to determine the cause of this rise, and set guidelines for early screening and prevention strategies.

PRESENTATION

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1340 – 1430

Nick Withers  CD, MD, CCFP(EM), FCFP

Medical Director 24/7 Occupational & Emergency Medicine Solutions Inc.

Description

FOAMed continues to thrive in the digitally connected world. With numerous sites providing superb education at no cost, it can become difficult to stay current on all websites, podcasts, and e-mails. Dr. Withers will provide a summary of popular FOAM resources. With smartphones ubiquitous in society, medical applications abound but change so fast that it can be challenging to maintain awareness of the latest and greatest. As a Clinical Assistant Professor within the Department of Emergency Medicine at UBC, Dr. Withers has regular contact with learners (including military PAs) and will provide an overview of his favourite clinical applications.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Discuss the exciting world of FOAMed.
2. Identify a selection of FOAM resources considered useful for the majority of clinical PAs.
3. Identify and demonstrate smartphone applications that improve patient care or enhance patient safety.

PRESENTATION

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1340 – 1430

LCol Andrea Tuka MD, CCFP, FRCPC

Description

This short case based presentation provides information on screening, assessment and management of PTSD in military and the general Canadian population.  It will present relevant issues the Physician Assistants may encounter in different practice settings. The presentation also reviews the current treatment recommendations based on Clinical Practice Guidelines.

Learning Onjectives

At the conclusion of this session, the participant will be able to:

1. Recognize the risk factors for trauma-related conditions and individuals as well as populations vulnerable developing PTSD
2. Identify signs and symptoms of PTSD and get familiar with the PC– PTSD Screening Tool
3. Understand the evidence-based treatment modalities for PTSD

PRESENTATION

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1500 – 1550

Robert Harley, CCPA

Description

Event medicine is an up and coming sub-culture of Mass Gathering Medicine which is itself new. Between the both, there represents a new niche that PAs can get involved with and thrive.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Differentiate the differences between Mass Gathering Medicine and Event Medicine.
2. Defend application and prose expansion of the PA professional role and skill set as appropriate and conducive in various settings across Canada.
3. Utilize different conferences and courses that are available to PAs interested in Mass Gathering and Event medicine areas of practice.
4. Apply for positions within Mass Gathering and Event medicine areas of practice.

PRESENTATION

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1500 – 1550

Alan Cassels, Communications Director, Therapeutics Initiative Department of Anesthesiology, Pharmacology and Therapeutics, UBC Faculty of Medicine

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Define a fiduciary relationship between a patient and a healthcare provider within the context of standard clinical practice.
2. Discriminate anchoring, blind spot, and confirmation bias, as well as the bandwagon effect.
3. Explain how reciprocity works and relate it to the receipt of gifts/compliments/money from pharmaceutical companies.
4. Qualify the influence of large and small gifts from pharmaceutical and device companies and explain how reciprocity plays a part in this process.
5. Reasonably examine clinician behavioral changes as influenced by pharmaceutical marketing exposure.
6. Infer clinician understanding of their influenced behavior from pharmaceutical and device company marketing.
7. Examine how exposure to pharmaceutical and device company marketing can impact your fiduciary relationship with your patients.

PRESENTATION

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1500 – 1550

Description

Authors of the poster presentations will be given five minutes to go over the highlights of their research poster, followed up by questions from attendees.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Explain the importance of PA led research.
2. Recall current research conducted and identify relevance to PA profession.
3. Identify gaps in research.

Posters

LOOK WHO’S TALKING: THE USE OF SOCIAL MEDIA AMONG THE EMERGING CANADIAN PA PROFESSION

CABERGOLINE AND LACTATION SUPPRESSION

THE IMPACT OF ANTICIPATED DISCHARGE DATES COMMUNICATED BY A PHYSICIAN ASSISTANT ON HOSPITAL LENGTH OF STAY AFTER MAJOR HEAD AND NECK SURGERY

THE UTILIZATION OF PHYSICIAN ASSISTANTS IN MANITOBA OVER THE LAST 15 YEARS

HOME TO STAY: INTERIM RESULTS OF A RANDOMIZED CONTROLLED TRIAL (RCT) OF A PHYSICIAN ASSISTANT (PA) LED INTEGRATED MONITORING SYSTEM TO SUPPORT PATIENTS AFTER DISCHARGE FOLLOWING COLORECTAL SURGERY

ENTRUSTABLE PROFESSIONAL ACTIVITIES FOR CANADIAN PHYSICIAN ASSISTANTS

BARRIERS & FACILITATORS OF PHYSICIAN ASSISTANT INTEGRATION LESSONS FROM FAMILY MEDICINE SETTINGS IN ONTARIO, CANADA

EVOLUTION OF PA EDUCATION IN CANADA SHARED LESSONS, ONE OUTCOME

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1820 – 1920

Ian W Jones, MPAS, PA-C, CCPA, DFAAPA and Rebecca Mueller, MSc, PA-C

Description

JCANPA Editors Becky Mueller and Ian Jones are offering a personal learning session about the open access Journal of Canada’s Physician Assistants. This casual event will answer questions and participants will discover:

Learning Objectives

1. What is an Open Access Journal?
2. Why Open Access Matters?
3. How Does It Work at JCANPA?
4. What is involved in the Copyright and the Creative Commons Attribution (CC BY) license?
5. What does JCANPA publish?
6. How is it indexed and where?

PRESENTATION

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0800 – 0850

Captain Amy Streeter, Physiotherapist  

Description

This presentation will discuss the management and rehabilitation of patients with mild Traumatic Brain Injuries (mTBI). The 2017 Concussion in Sport Group Consensus Statement states that treatment of individuals with post-concussion symptoms should be individualized and target specific medical, physical and psychosocial factors that are identified on assessment. This includes a targeted physiotherapy program. Pulling together the latest research on the management of this population, we will examine who would be appropriate for referral to physiotherapy and what you can expect from an assessment and treatment plan within the context of a case.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Have a general understanding of the most recent guidelines for management of patient post- concussion;
2. Know when it is appropriate to refer patients to physiotherapy; and
3. Have an overall picture of what to expect from the rehabilitation team.

PRESENTATION

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0910 – 1000

Elder Roberta Price from the Snuneymuxw and Cowichan First Nations and Ruth Kenny, Social Worker, BC Women’s Hospital and Health Centre Indigenous Health

Learning Objectives

At the conclusion of this session, the participant will be able to:

• Recognize the work the BC Women’s and Children’s hospitals do for women and families in Indigenous Health
• Recognize the role of an elder in health services
• Identify what Indigenous Culturally Safe practice is it and why it is important
• Apply Indigenous Cultural Safe practice in future patient encounters

PRESENTATION

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1030 – 1120

Russ Ives, CCPA

Description

The Physician Assistant (PA) profession in Canada is growing exponentially every year with rapid success in numbers continuing to rise however there still remains to be a lack of research to justify this to governments, employers, and potential stakeholders. The success we are currently enjoying needs to be managed properly so that we can ensure PAs become and stay an integral part of the Canadian health care system. The solution seems simple; we need more research on the profession but the question is how do we conduct enough research on a big enough scale to demonstrate the value of PAs? The answer; we implement a mobile app that allows PAs to track/timely document their inpatient clinical encounters. This will allow us to generate reports specific to the services offered, time required and patient populations being seen, all of which will show a wide variety of data. There currently are positive accounts of how employing a PA has proven beneficial however this information is largely anecdotal, based on personal accounts from physician employers and supervisors with limited direct statistical validated information. What we need is to understand the key drivers and activities performed by PAs and to obtain tangible results that can be used to prove a PAs worth.

Inspired by the Typhon Groups Physician Assistant Student Tracker or PAST system utilized by PA students at the University of Manitoba, PAST is designed specifically for PA education programs and allows participants’ to document their clinical experiences and generate activity log reports. The Canadian PA Activity Tracker will do much of the same however will be designed to efficiently collect information in an expedited manner and reflect what PAs are doing across the country. This information will then be used to garner support from governments, employers, as well as potential stakeholders.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Identify the need for research of the PA profession on a large scale.
2. Recognize what could happen if growth of the profession is not properly managed.
3. Extrapolate what the results of data collected from the Canadian PA Activity Tracker will mean for the PA profession.
4. Discuss features of the Canadian PA Activity Tracker.
5. Identify a timeline of when the Canadian PA Activity Tracker will become available.

PRESENTATION

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1130 – 1220

Sunil Mankad, MD, FACC, FASE, FCCP

Description

This will be a case based presentation that will help answer common Cardiology questions such as the following: 1) What do I do with an elevated troponin in patients without ECG changes or symptoms? 2) How should I use the high-sensitivity troponin assay? 3) What do I do with my patient who has stress induced cardiomyopathy? 4) In patients with CAD preparing for noncardiac surgery, how do I stratify and reduce their risk?

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Manage the diagnostic evaluative approach of a patient with an elevated troponin.
2. Distinguish the underlying mechanism and treatment of stress induced cardiomyopathy.
3. Manage the diagnostic evaluative approach of a patient with cardiac risk factors undergoing non-cardiac surgery.

PRESENTATION

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1130 – 1220

Josef Burwell, MS, PA-C and Colten Smith, MS, PA-C, Peacework Medical 

Description

Healthy transgender adults can seek relief for gender dysphoria through gender transition in primary care. With careful attention to existing protocols for diagnosis, informed consent, treatment plans, and labs for ongoing evaluation, safety and best practices are emphasized. Preventative measures for transgender adults will also be addressed. Quality measures for how to make a clinic more welcoming to gender and sexuality minorities will be included. The two presenters co-direct a clinic for transgender adults in the U.S.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Diagnose gender dysphoria.
2. Understand the informed consent process for hormone therapy vs. the behavioral therapy model.
3. Treat gender dysphoria with hormone therapy.
4. Provide sound preventative care for transgender individuals.
5. Make any clinic more welcoming to gender and sexuality minorities through language, action and awareness.

PRESENTATION

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1330 – 1420

Jordan Levinter, CCPA and Devin Singh, MD

Description

P.A.C.E. is a new clinical education program developed by the staff at SickKids. The goal of the program is to deliver high-quality, evidence-based paediatric education to Physician Assistants throughout Canada and beyond. Education is delivered through a combination of synchronous and asynchronous on-line presentations.

This presentation will give a brief overview of the program and provide a rapid overview of 2 common paediatric emergency presentations with uncommon underlying pathologies. Participants will be walked through case presentations, learn to identify red flags, and review the management of these high-yield paediatric diagnoses.

The truly lethargic infant is a presentation that makes even experienced clinicians nervous. There are numerous reasons for this presentation, including infectious, non-accidental trauma, and intussusception. We will review a case based on a real patient encounter of an infant with intussusception. We will discuss pertinent history and physical exam findings, in addition to appropriate investigations and management.

Everyone has suffered a sore throat and fever. We know the common causes: viruses, streptococci, and mononucleosis, but what about when symptoms persist. We will review a case, based on a real patient encounter of a teenage with Lemierre’s Syndrome, also known as jugular vein suppurative thrombophlebitis. Pathogenesis, diagnosis, and management will be cover.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Understand the goals of the P.A.C.E. program and how to get involved.
2. Develop an approach to the listless infant.
3. Apply appropriate investigations and treatments to an infant with intussusception.
4. Describe the pathogenesis of Lemierre’s Syndrome.
5. Understand the investigations and emergent treatment of Lemierre’s Syndrome.

PRESENTATION

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1330 – 1420

Leslie St. Jacques, CC-PA; BA, BHSc-PA MES, MSW

Description

The Pituitary is referred to as the “master gland” due to its pervasive control of our hormones. A pituitary tumour can drastically alter a person’s body and rob them of their vision. Far from being rare, pituitary tumours are frequently found incidentally on brain imaging done for other reasons. This visual presentation will utilize case examples and imaging to describe types of pituitary tumours and their effects, when to suspect your patient’s signs and symptoms could be related to the pituitary and what to order: labs, imaging, eye exams and referrals.

PRESENTATION

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1330 – 1420

Ian Jones, MPAS, PA-C, CCPA, DFAAPA

Description

The University of Manitoba MPAS team will provide an interactive demonstration and audience participation event in preparing for the job interview as a PA.

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Learn the steps involved in preparing for a job interview that relate to increased impact and presentation.
2. Prepare a self-reflection to answer traditional, hypothetical and behavior descriptive questions.
3. Learn through participation how E.S.P., S.T.A.R., and preparation for negative questions will improve your chances to land the dream job you desire.

PRESENTATION

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1430 – 1520

Dr. Wendy Levinson, Professor of Medicine and Past Chair of the Department of Medicine at the University of Toronto

Delivered via webcast

Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Describe Choosing Wisely Canada in its first 4 years
2. Outline approaches medical, nursing, and pharmaceutical societies have used to engage their members
3. Discuss strategies to implement Choosing Wisely Canada recommendations

PRESENTATION

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1430 – 1520

Kamshad Touri, MD, CCPA

Description

Oncology patients often have unpredictable and complex needs that require management within an acute care inpatient setting. Studies have demonstrated that due to a high burden of illness in particular malignancies hospitalization can be unavoidable despite even the most diligent ambulatory care. Unplanned oncology hospitalizations are defined as admissions for the management of a complication related to an underlying oncological disease or its treatment, or for symptom control or palliation. There is evidence that demonstrates that patients with advanced disease are more likely to have an unplanned hospitalization, and that these admissions are a marker of poor prognosis with a predicted median survival of less than 3 months following hospitalization. Unsurprisingly, as the incidence of cancer is increasing unplanned admission rates are also on the rise. Consequently, the traditional resources to care for this complex population of patients are being exhausted. Therefore, the development of innovative models of care to support this growing cohort is critical. In response to this need a specialized interdisciplinary team supported by a Physician Assistant was established within a general medicine service. The purpose of this presentation is to discuss how this new model provides quality improvement for oncology patients undergoing unplanned hospitalizations. The presentation will explore processes used to foster and streamline comprehensive oncology care within a general medicine program.

PRESENTATION

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1330 – 1500

Ian Jones, MPAS, PA-C, CCPA, DFAAPA

Description

Representatives from the Canadian PA Programs will answer audience questions in an open format panel discussion.  There are multiple pedagogical approaches to PA education in Canada.  Is there one best way?  Core faculty will discuss merits and disadvantages to each and address questions from student and graduates PAs. Discussion on the future of PA education in Canada and the proposed new accreditation standards, and Entrustable Professional Acts for PAs (EPA-PA) will also be had.

 Learning Objectives

At the conclusion of this session, the participant will be able to:

1. Identify various teaching approaches to PA education in Canada.
2. Recognize the merits and disadvantages of different teaching approaches.
3. Discuss the future of PA education, accreditation standards and Entrustable Professional Acts for PAs.

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1530 – 1620

Sahand Ensafi, B.H.Sc, CCPA

Description

Ophthalmologic complaints are often a dreaded complaint for numerous clinicians. This talk aims to provide a review and approach to several key conditions causing acute painless vision loss. Following this talk, the audience will hopefully become more comfortable in assessing one of these conditions when they come through their front door.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Differentiate between the most common etiologies causing acute ophthalmologic blindness.
2. Formulate a diagnostic and evaluative approach to acute painless vision loss.
3. Differentiate between the management of ophthalmologic conditions causing acute painless vision loss.

PRESENTATION

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1530 – 1620

Alison Plotzke, CCPA

Description

The relationship between poor health literacy and health status is well-recognized and well-documented. However, there is still substantial gap between translation of information and knowledge between health care providers and patients.

Physician Assistants (PAs) play a significant role, within many areas of medicine, in assessing new patients, continued patient care, and discharging patients. All of these are opportunities for PAs to perform health literacy assessment, including health-related reading fluency, numeracy, and prior knowledge. This allows PAs to deliver tailored health information and to communicate transparently with the patients. PAs can take a leadership role in the development of patient education resources, accounting for individual patients’ needs, and work to implement these changes in all areas of medicine.

When patients comprehend their diagnoses, the proposed treatment and overall care plan, there is enhanced capability for self-management. Consequently, compliance with the proposed regimen is improved. In these instances, health literacy enables patients to be in greater control over their health, including the personal, social and environmental determinants of health that are at play.

Health literacy can be used as an asset to improve overall patient outcomes, equipping PAs as front-line educators. PAs can develop and attain skills in patient advocacy and providing tailored information, which would ultimately lead to overall improved health outcomes.

Learning Objectives:

At the conclusion of this session, the participants will be able to:

1. Define health literacy amongst Canadian patients and its impact on health outcomes;
2. Review the factors which mitigate low health literacy;
3. Discuss the role of PA in developing patient education materials; and
4. Develop skills PAs can incorporate in their routine practice that will lead to improved health outcomes, discussions surrounding health choices, and patient satisfaction.

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1600 – 1630

Sandra Bourgon, Certification Manager

Description

This session will review the basics of the Royal College’s MOC Program with respect to credit requirements, the MOC Framework, and CPD activities eligible for credit. The presentation will include explanations on where and how to record CPD activities relevant to Physician Assistants (PAs). The session will be interactive and time will be allotted toward the end of the session for any additional queries.

 Learning Objectives

At the conclusion of this session, the participant will be able to:

1. List credit requirements.
2. Identify CPD activities eligible for credit.
3. Record CPD activities in the MAINPORT ePortfolio recording tool.

PRESENTATION

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0910 – 1000

Captain D. Brad Olmstead M.M.M., CD, MPAS, CCPA

Description

This session will outline the various paths one can take in the military i.e. army, navy and air force. There will be a representative from each stream in the CAF who will show pictures to further emphasize what the experience is like. Having multiple speakers and showing pictures will make the session dynamic and engaging.<br><br>

Learning Objectives
At the conclusion of this session, the participant will be able to:
1. Explain what is entailed in joining the CAF.
2. Discuss the potential benefits and opportunities of joining.
3. Reflect how these opportunities could benefit them.

PRESENTATION

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1010 – 1100

Thomas L. Perry MD, FRCPC Therapeutics Initiative, UBC

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Recognize the need to review prescription and non-prescription drugs methodically for all patients;
2. Rank drugs as “essential”, “probably harmful”, or “irrelevant”;
3. Recognize that competent deprescribing can liberate patients suffering from imposed drug toxicity.

PRESENTATION

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1040 – 1130

Julia Clemens, Physician Assistant at The Hospital for Sick Children

Description

Accounting for about 9% of all pediatric visits, acute abdominal pain is in the “bread and butter” of primary and emergency practice. How do you keep your guard up for pathology when you’ve already seen 10 patients with gastroenteritis today? This session is a case based approach to pediatric abdominal pain and vomiting that will help participants identify red flags on history and physical exam and select appropriate work up for these patients. We will also review the management of some common causes of abdominal pain from infant to adolescent.

Learning Objectives:

At the conclusion of this session, the participant will be able to:

1. Develop an age appropriate differential diagnosis for abdominal pain and vomiting
2. Identify red flags on history and physical exam for abdominal pathology
3. Apply appropriate investigations for the evaluation of suspected pyloric stenosis, malrotation with midgut volvulus, intussusception, appendicitis and other diagnoses
4. Review guidelines on the management of gastroenteritis, constipation and gastroesophageal reflux

PRESENTATION

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1200 – 1250

Dianna Wachtel, DHSc, PA-C, CCPA

Description

When you tell your patient she doesn’t need a PAP test (cervical cancer screening) for 3 years, does she still need a pelvic exam in the interim?

Although the Canadian Task Force on Preventative Health Care (CTFPHC) and the America College of Physicians (ACS) no longer recommend annual pelvic examination, the American College of Obstetrics and Gynaecology (ACOG) still does. What is our responsibility to our patients to make sure they have adequate health screenings? While the CTFPHC and ACP cite reasons not to do the exams, namely fear, pain, embarrassment, and of course (as with digital rectal exams with men), potential over-diagnosis and unnecessary treatment; ACOG recommends the exam, but admits there is little evidence supporting its utility in detection of pathology in asymptomatic women.

How then do we find balance in following clinical guidelines and keeping our patients healthy?

The presentation will also cover male PAP tests and include discussion of screening guidelines, including special cases, necessary health education for both providers, women and men, and pathology missed by lack of pelvic exams (cases).

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Differentiate between the current PAP test guidelines in pre-, post-menopausal and trans men and women.
2. Describe the difference between “PAP” and “pelvic exam”.
3. Investigate various pathologies (e.g. vulvar lesions, ovarian tumors, etc.) that may be missed if gynecological exams are not performed.
4. Prepare patient education supporting gynecological symptom evaluation.

PRESENTATION

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1300 – 1350

Sean Kelcey, CCPA

Description

Acute cholangitis is a serious infection of the biliary tree that can present in a number of ways, including sepsis. Early recognition and management are key to reducing morbidity and mortality from this illness.

PRESENTATION

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1400 – 1450

Franklin Marquez, CCPA, CPSNB, AAPA-F

Description

Three cases will be discussed on the management and treatment of a subarachnoid hemorrhage – from the young drunk driver to the geriatric on anticoagulation slip and fall. The difference between epidural, subdural and SAH will be overviewed to clearly understand the difference of intracranial bleeds.

Learning Objectives

At the conclusion of this session, the participant will be able to:
1. Discriminate the differences between intracranial hemorrhages.
2. Distiguish the predictive value of the GCS when managing a SAH.
3. Differentiate the best diagnostic tools and treatment models for SAH.

PRESENTATION

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1400 – 1450

Dr. Gail Knudson

Learning Objectives

1. Understand relationship among some components of sexuality and gender
2. Introduce the concept of minority stress

PRESENTATION

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