The Vulva After Menopause: Distinguishing Atrophy vs Skin Dermatitis

• Discuss physiological changes to the vulva after menopause
• ​Pearls on history and exam
• A brief approach to treatment
• When to biopsy or refer

Dr. Ulrike Dehaeck

Update on HRT

• Be able to specify the options currently available for managing menopausal symptoms
• Be able to specify when, how, and for how long these options should be used
• Be able to specific how to deal with common management issues associated with these preparations

Dr. Tim Rowe 

*Advanced Reproductive Options for Females

• Review the SOGC recommendations on age and fertility and the importance of timely counseling
• Review age-related decline in fertility and effects on treatment outcome
• Outline reproductive options for the single female

Dr. Niamh Tallon

Updates on PCOS: What's New in Diagnosis and Management?

• ​PCOS- definition, prevalence in Canada
• Brief overview of etiology/pathophysiology
• When to suspect it?
• Diagnostic criteria- what has changed?
• Management options: for non-conception vs conception purposes
• Implications on fertility
• Endometrial cancer risk

Dr. Jason Hitkari

Bladder Cancer: An Update on Diagnosis, Management and Post Treatment Surveillance

• Prevalence of Bladder Cancer in Canada vs worldwide
• Are there any screening recommendations? (vs diagnosis)
• Who is high risk? Has this changed, updates?
• When would you suspect pathology?
• Diagnosis/when to refer
• Treatment options
• Post-treatment surveillance in primary care vs urology

Dr. Alan So

BPH—Management: Medical vs When to Call the Surgeon?

• Overview of BPH pathophysiology
• Lifestyle modifications
• When is medical management indicated
• Monotherapy vs combination therapy- any new medications?
• Side effects to be aware of
• PSA monitoring, frequency, interpretation etc.
• When to refer for surgical consideration

Dr. Alan So

Testosterone Deficiency: Diagnosis and Management

• What constitutes testosterone deficiency
• Who is at risk for hypogonadism
• Who you should treat and why
• Who should you not treat
• Treatments options and monitoring
• When to refer

Dr. Stacy Elliott

Management Options for Erectile Dysfunction

• Etiologies of ED
• Overview of management approach
• Lifestyle changes
• Medical therapy, side effects, monitoring
• Special populations/precautions
• Additional therapies
• When should surgery be considered?

Dr. Ryan Flannigan 

Technology-Enabled Patient Care: How Physicians Can Lead the Way

• Explore how technologies such as mobile apps, wearables, desktop videoconferencing and patient portals are transforming healthcare for health professionals and patients
• Consider physicians’ opportunities and issues in supporting technology-enabled patient care and wellness
• Identify actions physicians can take now to incorporate technologies into their practices

Dr. Kendall Ho

Is My Heart Broken, Doc? Medical Imaging for the Heart

• To understand how to choose a particular cardiac test
• To understand the principles of stress testing
• To be familiar with the use of imaging based cardiovascular risk stratification of asymptomatic patients

Dr. Graham Wong

Point-of-Care Ultrasound — Practical Applications for In-Office Use

• To identify PoCUS applications for in office us
• To recognize common pitfalls in PoCUS
• To highlight differences between PoCUS and diagnostic radiology

Dr. Shane Arishenkoff

ABCD's of Dense Breast

• To understand what breast density is, and how it is measured and reported 
• To appreciate the significance of breast density
• To facilitate patient discussions of breast density

Dr. Colin Mar

Navigating NASH Diagnostic Tools

• To understand what the initial workup entails with NASH (ultrasound, fibroscan, etc.)
• To learn about various modalities to monitor NASH progression (ultrasound, fibroscan, etc.)
• To know when to refer to a hepatologist

Dr. Edward Tam

Back Troubles — Is Imaging for Lumbar Pain Syndromes Useful?

• Recognize the Red Flags that warrant earlier spine imaging
• Identify the deleterious effects of spine imaging
• Describe the advantages/disadvantages of X-ray/CT/MRI in spine imaging

Dr. Jason Clement

COVID-19 Pandemic: Understanding the Long Term Sequelae

• Understand the most up-to-date information about the disease and the long term sequelae

Dr. Jesse Greiner

Detecting the Smokers Time Bomb with Low Dose CT

• To understand the current recommendations for lung cancer screening for chronic smokers in our practice. 
• To understand the surveillance process with screening-detected lung nodules

Dr. Stephen Lam

Making Sense of Diets

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

• Describe the evidence about intermittent fasting & ketogenic diets on weight and cardiometabolic factors 
• Recognize possible approaches when counseling patients who are planning to or trying these approaches

Dr. Tanis Fenton

Exercise is Medicine

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

• Outline the evidence for exercise in the prevention and management of disease
• Describe an approach to safely prescribing exercise
• List community resources to support patients in starting and following an exercise program

Dr. Robert Petrella

Medical Abortion

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

• Describe the work-up, medications and follow-up required for medical abortions 
• Use evidence-based protocols for medical abortions during COVID using telemedicine.

Dr. Ellen Wiebe

Emerging Cancer Therapies 

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

• Describe new/emerging cancer therapeutics and targets
• Describe unusual toxicity profiles of new cancer therapeutics
• Outline the integral role of primary care within emerging new cancer therapeutics

Dr. Stephen Chia

Contraception 2021

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

• Use a tiered effectiveness approach for your contraceptive counselling
• Incorporate the new contraceptive implant into your contraceptive counseling 
• Recommend extended use of contraceptives in line with SOGC pandemic guidelines

Dr. Emma Coffey

Migraine Update

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

• Understand how migraine is diagnosed.
• Describe the use of emerging treatments for the treatment of migraine.

Dr. Gordon Robinson

Facts and Myths About Drugs Our Patients are Asking About

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

• Be able to assess the use of all treatments regardless of how much evidence they have to support their use
• Appreciate how often new medications are better than older medications
• Differentiate between the placebo group response and treatment response

Dr. James McCormack

COVID-19 Therapeutics

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

• Describe, based on the research to date, what are the evidence-informed therapeutic options for the management of moderate to severe COVID-19 infection

Dr. Adam Thomas

Eye Emergencies for GP's Not to Miss

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

• Differentiate various red eye diagnoses confidently and avoid common medico-legal pitfalls
• Prescribe therapeutics for red eye, including antibiotics, safely according to recent evidence
• Identify simplified red eye red flags requiring urgent referral

Dr. Simon Moore

Ocular Findings of Common Systemic Conditions

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

• Understand the ocular manifestations of common auto-immune diseases
• Describe how to use the ophthalmoscope to visualize the macula
• Outline the eye signs of hypertension and Diabetes Mellitus

Dr. Briar Sexton

Don't Let Chronic Migraine and Concussion Give You a Headache

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

• Understanding the difference between acute and chronic migraine
• Describe the knowledge of common migraine rescue drugs in acute migraine
• List the common treatments for chronic migraine

Dr. Briar Sexton

Management of Chronic Sinusitis​

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

• List the latest guidelines in the definition, diagnosis, and management of acute and chronic rhinosinusitis.
• Describe the medical management of acute and chronic rhinosinusitis and when to refer patients to the rhinologist/sinus specialist.
• List the classification and current management strategies for Allergic Rhinitis.
• List recent advances in the surgical and medical management of chronic sinus patients.

Dr. Amin Javer

"I am speechless" by Hoarseness of Voice

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

• Recognize hoarseness and describe an approach for a patient with hoarseness
• Identify appropriate management options for hoarseness
• Recognize when to expedite a referral to a specialist

Dr. Dianne Valenzuela

Diagnosis and Management of Oral Lesions

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

• Identify common oral lesions and their initial management
• List oral lesion features suggestive of malignancy

Dr. Eli Whitney

The Aging Eye

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

• Create a practical “visual status” assessment list to implement in practice
• List four different vision components and one disease that affects each
• Distinguish closed from open-angle glaucoma and at least one drug that can affect each

Dr. Katherine Paton

Tinnitus

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

• List the most common causes of tinnitus
• Identify the most common treatment options for tinnitus

Dr. Arman Abdalkhani

Seniors and Substance Use

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

• Describe trends in substance use by older adults
• Identify screening tools and approach to increase recognition of at-risk substance use and substance use disorders in older adults
• Increase familiarity with evidence-based treatment

Dr. Joyce Coutts

Cognitive Testing in the Family Practice Office: Which Tools to Use?

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

• Understand the epidemiology of mild cognitive impairment and dementia in BC
• Become familiar with cognitive testing tools that can be applied within the family practice setting
• Have an approach to management and/or referral of patients who screen positive for cognitive impairment.

Dr. Bonnie Wiese

Preventing Falls in Older Adults

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

• Develop a family practice approach to screening for falls risk in older adults
• Understand falls prevention in terms of deprescribing practices, environmental, and social interventions
• Become familiar with ways to discuss falls and frailty with your patients

Dr. Lisa Weger

Innovative Approaches to Dementia Management​

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

• Describe common approaches used for dementia management
• Discuss some potential future therapeutic approaches

Dr. Phil Lee

The Aging Immune System & Consideration for Immunization After Age 50

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

• Understand changes in the aging immune system
• Have an approach to reviewing immunizations with patients over age 50
• Become aware of common errors in immunization, screening, and counseling in older patients

Dr. Persia Pourshahnazari

Cancer Screening (And When to Stop)

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

• Review recommended age limits for common cancer screening tests in primary care
• Understand special cases and reasons to cease screening earlier or later than general recommendations
• Develop an approach to discussing the cessation of cancer screening with your aging patients

Dr. Colin Mar

COVID-19 in the Elderly (Lessons from 2020)

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

• Understand the impact of the COVID-19 pandemic on BC's elderly
• Know how to access resources to discuss goals of care in the context of COVID-19
• Answer questions regarding the efficacy of COVID-19 vaccination in older adults

Dr. Janet Kow

Deprescribing: Decluttering the Medicine Cabinet

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

• Identify potentially inappropriate medications in the elderly
• Learn a simple approach to deprescribing in the elderly
• Highlight top five medications we should consider removing from our senior’s prescriptions

Dr. Mark Fok

Atrial Fibrillation: Management in the Office

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

• Identify patients with the occult or clear-cut atrial fibrillation.
• Order appropriate tests in urban and rural settings.
• Utilize appropriate treatments before and after testing.
• Decide whether and how to manage the long-term use of medications.

Dr. Graham Wong

Insulin 101: When and How to Start in Family Practice

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

• Identify and individualize patients who require insulin therapy.
• Determine when lifestyle and other approaches have reached their limit.
• Offer a concise and rational method of introducing insulin therapy To the patient.

Dr. Breay Paty

COPD in the Age of COVID: Preventing and Treating Exacerbations

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

• Identify COPD patients early in their course.
• Order appropriate tests in these challenging times in both urban and rural settings.
• Utilize appropriate treatment regimens and action plans before and after testing.
• Determine when and how to refer for the urban and rural practitioner.

Dr. Janice Leung

Short and Long Term Effects on COVID-19

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

• Provide family doctors with the perspective and tools to help patients following COVID-19 infection.
• Deal with longer-term sequelae of the infection.
• Identify and provide additional support for select groups most at risk of sequelae.

Dr. Victor Leung

A Rational Approach to H. Pylori Diagnosis and Management

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

• Select and instruct patients on appropriate testing.
• Identify those patients requiring testing.
• Utilize appropriate treatments before and after testing.
• Decide whether and how to limit the long-term use of medications.

Dr. Jim Gray

The Place for Stem Cell Therapy and Plasma-Rich Protein in Current Medical Practice

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

• Identify those patients for whom this might be beneficial.
• Order appropriate tests in urban and rural settings.
• Utilize appropriate treatments before and after testing.
• Determine when and how to refer for the urban and rural practitioner.

Dr. Michael Orenstein

Mast Cell Activation Disorder: The Bowel Microbiome and Other Systemic Effects

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

• Identify those patients for whom this is a significant concern.
• Order appropriate tests in urban and rural settings.
• Utilize appropriate treatments before and after testing.
• Determine when and how to refer for the urban and rural practitioner.

Dr. Victoria Cook

Seropositive and Seronegative Arthritis: How to Assess and Treat Those Really Achy Joints

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

• Identify those patients in need of urgent testing, especially in the COVID clinical environment.
• Order appropriate tests in urban and rural settings.
• Utilize appropriate treatments before and after testing.
• Determine when and how to refer.
• Decide whether and how to manage the long-term use of medications.

Dr. Natasha Dehghan