Ontario CME 2016

December 1-3, 2016 in Toronto, Ontario

Scientific Program

Please note that this program is subject to change

NEW! Ontario CME delegates are invited to attend APOG Pre-Conference Courses (additional costs apply). For more information or to register, please visit the APOG Annual Conference website: http://apog.ca/events/45th-annual-meeting/pre-conference-courses

Sessions

President’s Lecture - Choosing wisely: Don't just do something, stand there

8:00 AM to 8:40 AM
Room Name: Toronto I & II

Details:

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

  • Demonstrate that “More” is not necessarily better, and not necessarily innocuous
  • Apply Choosing Wisely methods to  obstetrical and gynecological procedures
  • Devise means to identify tests or procedures we do which should be part of the SOGC’s Choosing Wisely/Elegant Minimum list
  • Describe the purpose and method of proceeding of Choosing Wisely Canada
     
Speaker(s):

New SOGC guidelines on diabetes in pregnancy – The unanswered questions

8:40 AM to 9:10 AM
Room Name: Toronto I & II

Details:

At the end of the session, participants will be able to:

  • Summarize the content of the new SOGC guidelines and how it relates to other current guidelines;
  • Recognize the unresolved questions surrounding the diagnosis and management of women with diabetes in pregnancy;
  • Identify a tailored approach to the management of the pregnant diabetic patient.
Speaker(s):

Using Networks to promote quality of care in Canada - Postpartum hemorrhage

9:10 AM to 10:10 AM
Room Name: Toronto I & II

Details:

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

  • Describe the Obstetric Network Formation in Ontario;
  • Explain the Quality Performance Dashboard of network hospitals;
  • Describe SALUS/MORE – OB role in facilitating PPH Intervention Project;
  • Describe the process and content of PPH prevention bundle spearheaded by obstetric nursing in the Network.
Speaker(s):

Management of labour

11:20 AM to 11:50 AM
Room Name: Toronto I & II

Details:

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

  • Summarize highlights of the new SOGC management of spontaneous labour guideline;
  • Discuss areas of controversy and knowledge gap in the guideline; 
  • Propose mechanism to implement MoL recommendations in theclinical setting.
     
Speaker(s):

Debate on the management of fibroids

11:50 AM to 12:30 PM
Room Name: Toronto I & II

Details:

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

  • Develop an algorithm of management of fibroids causing infertility
  • Review the advantages and disadvantages of medical pre-treatment of fibroids contributing to infertility
  • Discuss issues related to surgical management of fibroids
Speaker(s):

Medical termination of pregnancy

2:00 PM to 2:30 PM
Room Name: Toronto I & II

Details:

After this session, participants will be able to: 

  • Discuss the current state of combination mifepristone/misoprostol for MA, in particular access, distribution and training;
  • Identify and review areas of clinical controversy in providing medical abortion;
  • Identify resources to make it easier to provide medical abortion in their office;
  • Determine what they can do to be ready to provide medical abortion to their patients in 2017.
     
Speaker(s):

Maternal fetal medicine committee

2:30 PM to 4:30 PM
Room Name: Simcoe east

Details:

This meeting is by invitation for committee members only.

Workshops (1)

2:30 PM to 3:30 PM

Workshop 1a: Medico-legal: Gynaecological issues

Room Name: Harris

Details:

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

  • Review the medico-legal risks for gynaecology in Canada;
  • Address safe medical practice principles to decrease risk of harm;
  • Optimize collaborative care and documentation in gynaecology practice.
     
Speaker(s):

Workshop 1b: Mental health and pregnancy

Room Name: McDonald

Details:

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

  • Name the mood and anxiety psychiatric disorders that present in pregnancy, with an awareness of their diagnostic criteria;
  • Describe the prevalence and risk factors for mood and anxiety disorders that present in pregnancy;
  • Understand the main treatment options for mood and anxiety disorders in pregnancy, with a focus on benefits an harms of pharmacotherapy.
Speaker(s):

Workshop 1c: Skin to skin contact at LSCS... Why not?

Room Name: Lismer

Details:

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

  • Identify the benefits of skin to skin contact;
  • Describe a new method of Skin to Skin contact at LSCS;
  • Indicate the mixed method results of LSCS performed by this method.
Speaker(s):

Workshop 1d: Marijuana in pregnancy and breastfeeding

Room Name: York

Details:

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

  • Identify the evidence related to marijuana use in pregnancy and breastfeeding
  • Discuss challenges in addressing marijuana use in pregnancy and breastfeeding
  • Apply techniques learned in day to day clinical care of women of reproductive age
     
Speaker(s):

Workshops (2)

4:15 PM to 5:15 PM

Workshop 2a: Perimenopause bleeding

Room Name: Toronto I & II
Speaker(s):

Workshop 2b: Recurrent pregnancy loss

Room Name: McDonald

Details:

At the end of the session, the participant will be able to:

  • Describe the current evidence based guidelines for the definition of REPL and indications for specialty referral;
  • Paraphrase the current guidelines for the investigation of REPL;
  • Discuss what's new in the management of REPL with case-based illustrations and debate on current topics such as pre-implantation genetic screening, immune therapies and gestational surrogacy
     
Speaker(s):

Workshop 2c: OHIP billing, what has changed? An interactive forum

Room Name: Lismer

Details:

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

  • Identify billing issues and know how to resolve them;
  • Demonstrate billing best practices;
  • Describe future directions.
     
Speaker(s):

Workshop 2d: Reducing the obstetrical risk: We’re in this together

Room Name: York

Details:

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

  • Discuss the top 5 recognized risks for medical legal issues in obstetrics;
  • Identify the issues relating to collaborative care in obstetrics;
  • Describe one pearl of knowledge to improve practice;
  • Create opportunities for quality improvement in obstetrics for participants in MOREOB 
Speaker(s):

OSOG awards dinner

6:00 PM to 10:00 PM
Room Name: Governor General

Details:

Again this year, the OMA Section of Ob/Gyn and the OSOG will be holding their Awards Dinner in association with the SOGC's Ontario CME. EVERYONE IS WELCOME TO ATTEND THIS WONDERFUL EVENING! The cost is $50.00 per person and partners are encouraged to attend. Please complete the OSOG Awards Dinner portion of the Ontario CME registration form to attend.

Come and help us celebrate this year's recipient, Dr. Alan Bocking.

Dr. Alan Bocking is a Professor in the Departments of Obstetrics and Gynaecology and Physiology at the University of Toronto and Senior Clinician Scientist at the Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada. He is the former Gordon C. Leitch Chair of the University of Toronto, Department of Obstetrics and Gynaecology and Chief of the Department of Obstetrics and Gynaecology at Mount Sinai Hospital, the University Health Network and Women’s College Hospital (2003 – 2013).

Dr. Bocking’s main areas of study are the mechanisms underlying infection–mediated preterm labour including the role of the vaginal microbiome.  His other research interests include understanding the mechanisms underlying Fetal Alcohol Spectrum Disorder as well as creating research Infrastructures to study the Developmental Origins of Health and Disease (DOHaD).  

He currently chairs the Steering Committee for the Ontario Birth Study which is an open longitudinal pregnancy cohort based at Mount Sinai Hospital, Toronto and has published over 100 peer-reviewed articles on his research findings. He was the Founding Director of the Academic Model for Provision of Access to Health Care – Reproductive Health Program, (AMPATH-RH) from 2008 – 2014 which partners with Moi University School of Medicine in Eldoret, Kenya.  Dr. Bocking is currently the Vice-Chair of the Board of the Maternal Infant, Child and Youth Research Network (MICYRN), and Vice-President of the Board of the Molly Towell Perinatal Research Foundation. He is a member of the Advisory Board of the CIHR Institute of Human Development, Child and Youth Health and currently serves as Scientific Advisor for the Canadian Fetal Alcohol Spectrum Disorder (Can FASD) Research Network.

Cannell Lecture: Quackademics, popular culture and the spread of pseudoscience

8:00 AM to 9:00 AM
Room Name: Toronto I & II

Details:

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

  • Describe the various social forces – including popular culture – promoting pseudoscience, particularly in the context of vaccination risks;
  • Sketch the role of universities and research institutions in the rise of pseudoscience and the marketing of unproven therapies;
  • Explain the potential legal and policy challenges associated with the provision of pseudoscience and unproven therapies; and
  • List strategies for countering this social phenomenon.
Speaker(s):

Practice based assessment

9:00 AM to 9:40 AM
Room Name: Toronto I & II

Details:

At the end of this presentation, participants will be able to:

  • Describe the critical role for assessment in promoting learning in practice;
  • Explain at least 3 challenges to using data and feedback to continuously improve;
  • Identify one assessment strategy to implement in their practice. 
Speaker(s):

Concurrent plenary sessions: GYN topics

10:25 AM to 12:25 PM

Concurent 1a (10:25-11:05): The new Ontario colposcopy guidelines

Room Name: Harris/McDonald

Details:

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

  • Describe new CCO guidance document for colposcopy;
  • Discuss the implications for primary care providers;
  • Explain of the role for oncogenic HPV testing.
     
Speaker(s):

Concurrent 1b (11:05-11:45): Cases, cases, cases: Putting the new CCO guidelines into practice

Room Name: Harris/McDonald

Details:

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

  • Apply the new colposcopy management guidelines in practice;
  • Describe the differences in colposcopy management with and without HPV testing.
Speaker(s):

Concurrent 1c (11:45-12:25): Management of vulvar intraepithelial neoplasia

Room Name: Harris/McDonald
Speaker(s):

Concurrent plenary sessions: OBS topics

10:25 AM to 12:25 PM

Concurrent 2a (10:25-11:05): Infectious diseases in pregnancy

Room Name: Toronto I & II
Speaker(s):

Concurrent 2b (11:05-11:45): On the edge of viability

Room Name: Toronto I & II
Speaker(s):

Concurrent 2c (11:45-12:25): Evaluation of Ontario birth centres

Room Name: Toronto I & II

Details:

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

  • Describe the mixed methods study of the Ontario Birth Centres;
  • Outline the results from the analysis of the first year of operations of the birth centres;
  • Put the results of the analysis in context with other out-of-hospital birth experiences.
Speaker(s):

Guideline update: Nutrition

1:10 PM to 1:50 PM
Room Name: Toronto I & II

Details:

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

  • Summarize highlights of the new SOGC Female Nutrition Guideline;
  • Discuss key areas of controversy and knowledge gaps in the guideline; 
  • Be able to locate helpful tools on the internet to support healthy eating of patients
  • Describe Health Canada’s new Healthy Eating Strategy
Speaker(s):

Zika

1:50 PM to 2:30 PM
Room Name: Toronto I & II

Details:

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

  • Appreciate ZIKV history and current epidemiology;
  • Understand the pathogenesis of ZIKV in pregnancy;
  • Know how to perform the investigation of ZIKV in pregnancy;
  • Implement current management and follow up protocols.
     
Speaker(s):

Enhanced skills course - GOC Hereditary cancer course (Section 1: BRCA curriculum)

2:30 PM to 5:30 PM
Room Name: Lismer

Details:

This course has been developed by the Society of Gynecologic Oncology of Canada (GOC) in collaboration with medical genetics, medical oncology, surgical oncology and menopause experts. It aims to address primary care practitioners involved in the care of women with hereditary breast and ovarian cancer syndrome with a specific focus on BRCA 1 and 2. 

There is an additional $50 fee to offset the costs related to offering this course. To register, please complete the Enhanced skills couse section of the Ontario CME registration form.

 

Course Objectives

At the completion of this advanced skills workshop the participant will be able to:
 

  • Identify patterns of cancer diagnoses in families suggestive of possible inherited predisposition syndromes
  • Understand the basics of cancer risk assessment and  the selection of appropriate individuals for genetic testing
  • Describe the cancer risks associated with mutations in BRCA 1 & 2
  • Report the evolving literature regarding ovarian cancer screening
  • Define the incidence of BRCA mutations in a woman with newly diagnosed ovarian cancer
  • Outline current guidelines for cancer screening and preventative surgery in BRCA carriers
  • Describe the different cancer rates associated with BRCA 1 & 2 mutations
  • Differentiate the breast cancer and ovarian cancer risk reduction options for BRCA1 vs BRCA2 carriers
  • Discuss the benefits and limitations of breast MRI surveillance and prophylactic mastectomy for BRCA carriers
  • Summarize the evidence regarding prophylactic bilateral salpingo-oophorectomy in BRCA carriers
  • State the advantages and disadvantages of hysterectomy at the time of prophylactic bilateral salpingo-oophorectomy
  • Counsel patients regarding decisions about timing of prophylactic surgeries
  • Review the role of hormone replacement therapy after prophylactic bilateral salpingo-oophorectomy in BRCA carriers with and without breast cancer

 

1430-1440: Opening remarks and course overview ---  Dr. Lesa Dawson
 

1440-1510: Medical Genetics Overview --- Dr. Raymond Kim

1510-1520: Discussion/Questions

1520-1550: Ovarian Cancer Risks and management in BRCA --- Dr. Lesa Dawson

1550-1555: Discussion/Questions

1555-1605:  Coffee break

1605-1635: Breast cancer screening and risk reduction ---  Dr. Melanie Seal

1635-1640: Discussion/Questions

1640-1710: Management of Premature menopause in BRCA carriers --- Dr. Michelle Jacobson

1710-1725: Questions/Panel discussion

1725-1730: Needs assessment and course evaluation

Speaker(s):

APOG abstract poster viewing with wine and cheese

5:30 PM to 6:30 PM
Room Name: Convention level foyer

Details:

Ontario CME delegates are welcome to attend the APOG abstract poster viewing session with wine and cheese. The cost for Ontario CME delegates is $25.00 per person and partners are encouraged to attend. Please complete the APOG abstract poster viewing session with wine and cheese portion of the Ontario CME registration form to attend.

Transgender health

8:00 AM to 8:40 AM
Room Name: Toronto I & II

Details:

At the end of the session, participants will be able to:

  • Appraise your knowledge and comfort in using LGBTQ terminology; 
  • Modify your history-taking to be inclusive of transgender identities;
  • Propose management strategies for the use of cross-sex hormones;
  • Identify barriers in your provision of transgender care;
  • Discriminate personal values from professional values in the delivery of inclusive care.
     
Speaker(s):

Workshops (3)

8:40 AM to 9:40 AM

Workshop 3a: Vulvar health - Everything you need to know to survive in clinic

Room Name: Toronto I & II

Details:

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

  • Develop a practical approach to common vulvar complaints such as vulvar itching, vulvar pain and superficial dyspareunia;
  • Better understand the clinical features, diagnostic criteria and effective management options of vulvar dermatoses.
     
Speaker(s):

Workshop 3b: Pessary management

Room Name: Harris/McDonald
Speaker(s):

Workshop 3c: What’s new for the neonate

Room Name: Lismer

Details:

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

  • Discuss recent findings in neonatal care related to late preterm antenatal steroids, magnesium sulphate for fetal neuroprotection, resuscitation (suctioning, room air and before cord clamping), umbilical cord (delayed clamping and milking), skin-to-skin contact, as well as restoration of the micorbiota.
Speaker(s):

HPV Immunization through the woman’s lifespan

10:10 AM to 10:50 AM
Room Name: Toronto I & II

Details:

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

  • Describe the benefits of HPV immunization of adult women;
  • Recognize the healthcare provider’s role to increase immunization rates of adult women;
  • Establish patient identification processes and vaccination opportunities to adopt best preventive practices.
     
Speaker(s):

Energy deficiency and stress on menstrual function

10:50 AM to 11:30 AM
Room Name: Toronto I & II

Details:

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

  • Define functional hypothalamic amenorrhea (FHA);
  • Outline the alterations in hormones and other factors that occur in FHA;
  • Describe the medical and psychiatric consequences of FHA;
  • Summarize the evidence-based treatment strategies for females with FHA.
Speaker(s):

When she says no to hormonal therapy…

11:30 AM to 12:10 PM
Room Name: Toronto I & II

Details:

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

  • Describe treatment realities post WHI Postmenopausal Hormone Therapy Trials results;
  • Assess the efficacy and limitations of current hormonal treatments;
  • Determine what do when hormones are not an option.
Speaker(s):

APOG Awards Luncheon

12:45 PM to 2:45 PM
Room Name: Governor General

Details:

Ontario CME delegates are welcome to attend the APOG Award Luncheon. The cost for Ontario CME delegates is $50.00 per person and partners are encouraged to attend. Please complete the APOG Award Luncheon portion of the Ontario CME registration form to attend.