DFCM Faculty at Family Medicine Forum

Keynote Address: 
Health Care Priorities and the Social Justice Lens  
The Honourable Jane Philpott, PC, MP, Minister of Health, Government of Canada

Minister Philpott will discuss current and future priorities for health care in Canada. She will address the challenges and opportunities family physicians face and the important role they have in enhancing family medicine in the years ahead.

Choosing Wisely Canada and Family Medicine: Measuring overuse and progress in implementation
Ciara Pendrith, MSc, Toronto, ON; Kimberly Wintemute, MD; Katerina Gapanenko, MD, MHs, PhD

Session participants will learn about the extent of unnecessary tests for three CWC recommendations relevant to the practice of family medicine. These recommendations include: don’t conduct imaging for lower-back pain in the absence of red flags; don’t screen women with Pap smears if they are < 21 or > 69 years of age; don’t repeat DEXA scans more often than every 2 years.

KidneyWise: A primary care clinical tool kit for the detection and management of chronic kidney disease 
Allan Grill, MD, CCFP, MPH, FCFP, Toronto, ON; Scott Brimble, MD, FRCPC, Hamilton, ON

Chronic kidney disease (CKD) affects approximately 2 million Canadians and is a recognized risk factor for all-cause mortality. By the end of this session, participants will be able to: 1) identify which patients are at higher risk for CKD; 2) understand which investigations to order and how to interpret the results; 3) manage CKD and its associated cardiovascular comorbidities; and 4) appropriately select which patients need to be referred for nephrology consultation.

Creating Value for Family Physicians: How to participate in and benefit from research to transform care
Michelle Griever, MD, MSc, CCFP, FCFP, Toronto, ON; Frank Sullivan, PhD, Toronto, ON; Scott Garrison, MD, PhD, Edmonton, AB

We need to generate evidence in primary care; this evidence should reflect our patients and our practices. Generating practice-based evidence requires that research happen in family practices so that the results are applicable to patients like those we see on a daily basis. However, family physicians are busy and adding another activity, like participating in research, is difficult. 

Practice-Based Research for Beginners: Research redefined, simplified, and demystified
Anwar Parbtani, MD, PhD, CCFP, Barrie, ON; Matthew Orava, MD, MSc, CCFP, Toronto

Objectives: To dispel the misperceptions about the role of research in primary care practice and enthuse participants to pursue research/academic enquiry relevant to their practices. 

Menopause: Case-based management
Susan Goldstein, MD, CCFP, FCFP, NCMP

After a review of the approach to the assessment of the menopausal patient, a variety of cases will be discussed to highlight the evidencebased guidelines for management. When to treat, how to treat, and treatment options will be discussed, using a simple algorithmic approach. Building on basic management principles, patient follow-up and the management of adverse events and treatment failure will also be explored.

Scholar Role in Family Medicine: Thinking beyond research for opportunities to disseminate important work
Morgan Slater, PhD, Toronto, ON; Charlie Guiang, MD, CCFP

We will share our experiences (especially in our roles as Residency Program Director and Senior Research Associate heavily involved in Resident Academic Projects) disseminating a number of different projects, ranging from personal narratives, educational workshops, and resident/learner related projects, to quality improvement work. We hope to engage the participants in sharing their own experiences and identify reasons for success and challenges disseminating scholarly work.
 
 

Managing Low Back Pain with the 2016 CORE Back Tool: A case-based approach
Julia Alleyne, MD, CCFP, FCFP, MScCH, Dip Sport Med, Toronto

Participants will be walked through the tool improvements and provided with strategies that will facilitate implementation into family medicine practice patterns. Three cases will be presented to illustrate the tool’s application to patients with acute, persistent, and chronic low back pain. The audience will have an opportunity to see a role play of the patient interaction using the tool and discuss options for management in all cases.

Your Besrour Centre: Where are we now? 
Katherine Rouleau, MD, CCFP, FCFP 

Participants will learn about the activities and working groups of the Besrour Centre and will share ideas around how to further advance family medicine around the globe. The presentation will include a presentation by Besrour partners and small group discussions.

Informing a New Curriculum: A generalist lens

Melissa Nutik*, MD, CCFP, FCFP, MEd, Toronto, ON; Azadeh Moaveni, MD, CCFP, Toronto, ON; Ruby Alvi, MD, CCFP, MHSc, Toronto, ON; James Owen, MD, CCFP, Toronto, ON; Risa Freeman, MD, MEd, CCFP, FCFP, Toronto, ON
 
In response to the apparent discord amongst faculty and stakeholders, an environmental scan of the literature and accreditation documents relevant to generalism in undergraduate medical education was undertaken. An evidence-informed tool, incorporating the key elements of generalism, was developed and applied in a systematic review process to all aspects of the mid-level design of the new proposed curriculum. Participants: The environmental scan, literature review, tool development, and curriculum review were conducted by the authors.

Intrapartum Skills: A refresher of specific skills.
Lisa Graves, Anne Biringer, Kevin Desmarais, Andree Gagnon, Sudha Koppula, Eve-Lyne Kyle, Sarah Lesperance, Amanda Loewy, Amanda Pendergast, Balbina Russillo, Bill Ehman

This interactive session will provide participants with an opportunity to develop further skills in intrapartum care. In small groups, participants will have the opportunity to review and practise crucial intrapartum skills such as vacuum-assisted birth, release of shoulder dystocia, and somersault manoeuvre for tight cords. Additional skills of placement of Foley catheter for induction and management of postpartum
hemorrhage will be offered as part of this session.

Prospective Validation of an iOS App to Evaluate Tremor in Patients With Alcohol Withdrawal Syndrome.
Bjug Borgundvaag, Shelley McLeod, Taylor Dear, Sally Carver, Narges Norouzi, Simon Bromberg, Meldon Kahan, Sara Gray, Parham Aarabi

Ideal management of alcohol withdrawal syndrome incorporates a symptom-driven approach, whereby patients are regularly assessed using a standardized scoring system (Clinical Institute Withdrawal Assessment for Alcohol-Revised; CIWA-Ar) and treated according to severity. Among the domains assessed by the CIWA-Ar, tremor is the most objective indicator of withdrawal severity. However, the ability of clinicians to reliably quantify tremor is highly dependent on experience.