CALGARY PAIN AND MSK CLINICAL PEARLS …ASSETS/DOCUMENT/Calgary Pain and MSK Clinical... · • outline the body's innate response to injury, ... 4 MSK Back Exam (hands-on) – Meaghan

CUMMING SCHOOL OF MEDICINE Office of Continuing Medical Education and Professional Development

REGISTER ON-LINE cmeregistration.ucalgary.ca

PAPERLESS CONFERENCE Access to handouts will be available prior to conference

ON-SITE REGISTRATION Based on availability, is not guaranteed and a surcharge may be applied

Check the website for any program updates cumming.ucalgary.ca/cme/courses

ACCOMMODATION

Registrants must make their own accommodation arrangements. We recommend Hotel Alma or Best Western Village Park Inn. See page 6 for additional information.

COURSE OVERVIEW

The Alberta Medical Association (AMA), Section of Sport and Exercise Medicine and the Calgary Pain Education Foundation are collaborating to offer this conference to all healthcare providers. The content of this combined conference covers advances in pain research and the prevention and management of acute and chronic spine, pelvis and hip musculoskeletal (MSK) conditions, injuries and pain. The course will include large and small group didactic lectures, hands-on workshops and case based discussions.

COURSE OBJECTIVES

The intent of the conference is for learners to:

• employ knowledge and practice skills for the prevention and management of acute and chronic spine, pelvis and hip MSK conditions, injuries and pain

• identify local and provincial programs, services and resources available for management of acute and chronic spine, pelvis and hip MSK conditions, injuries and pain

• develop strategies for primary care providers to manage common uncomplicated acute and chronic spine, pelvis and hip MSK injuries and pain conditions, prevent development of more severe conditions and identify which patients need to be referred for advanced diagnostic imaging and specialist consultation

WHO SHOULD ATTEND

All healthcare providers including physicians, physicians assistants, nurse practitioners, registered nurses, licensed practical nurses, pharmacists, physical therapists, occupational therapists, psychologists, social workers, chiropractors, kinesiologists and athletic therapists.

CREDITS

Mainpro+ Group Learning – 7.0 credits (7.0 hours at 1 credit per hour) MOC Section 1 – 7.0 credits

Spine, Pelvis and HipA Mainpro+ Course – 1 Credit Per Hour

CALGARY PAIN AND MSK CLINICAL PEARLS COMBINED COURSE

Friday, March 10, 2017Best Western Village Park Inn, 1804 Crowchild Trail NW, Calgary, AB

cumming.ucalgary.ca/cme

CALGARY PAIN AND MSK CLINICAL PEARLS COMBINED COURSE | PAGE 1 OF 8

Friday, March 10

0700-0745 Breakfast and Registration

0745-0750 Opening Remarks – R Michael Galbraith, Janice Rae

0750-0810 SHORT SNAPPER Approaches to Sub-Acute and Chronic Low

Back Pain – Physiotherapy Approach – Mark Metcalf

• recognize types of sub-acute and chronic low back pain problems that can be helped by physiotherapy treatment

• indicate which patients are appropriate for physiotherapy treatment

• recall methods of treatment used by physiotherapists in the treatment of sub-acute back pain

0810-0830 SHORT SNAPPER Approaches to Sub-Acute and Chronic

Low Back Pain: Diagnostic Imaging and Interventions Pain Technique

– Charmaine Wiens• identify low back pain generators and appropriate

diagnostic imaging

• identify appropriate interventional pain procedures for specific pain generators


Back Pain – Surgical Intervention – Speaker TBA

• learning objectives TBA

0850-0910 SHORT SNAPPER Approaches to the Athletic Injury

– The Psychological Approach – Karen MacNeill

• create awareness on meaning of injury and typical psychological responses to injury with the high performance athlete culture


Back Pain – Regenerative Injections – Adrian Gretton

• outline the body's innate response to injury, and how this applies to regenerative injection therapies

• describe the clinical applications of regenerative injections – best practices for sub-acute and chronic low back pain

0930-1000 PANEL DISCUSSION Approaches to Sub-Acute and Chronic Low

Back Pain

1000-1015 SHORT PLENARY Cochrane Low Back Management Initiative – Marnie Gazankas, Yolanda Martens-Vanhilst

• be aware of the philosophy and principles that lead to the creation of a primary care low back initiative

• identify different community team models and adapt them to your environment

• recognize the importance of building partnerships between primary, community healthcare providers and tertiary care

1015-1030 SHORT PLENARY Back 2 Health – An Innovative Approach to

Managing Low Back Pain – Christine Luelo

• summarize an overview of the Back 2 Health program

• describe the key components of physician education and training, including identification of standardized assessment tools

• follow the proposed patient care pathway, including the patient education modules

1030-1055 Nutrition Break and Networking

1055-1140 WORKSHOPS 1-6 (repeat at 1145)

1140-1145 Move to Next Workshop

1145-1230 WORKSHOPS 1-6 (repeat from 1055)

1230-1320 Lunch

1320-1325 Chair's Remarks – Janice Rae

1325-1425 KEYNOTE PLENARY Exercise Prescription – R Michael Galbraith

• review appropriate indications for exercise prescription

• describe the health benefits of regular exercise and physical activity

• write an appropriate exercise prescription for adults at different levels of physical literacy

• identify the contraindications of an exercise program

1425-1430 Move to Workshops

1430-1515 WORKSHOPS 7-12 (repeat at 1535)

1515-1535 Nutrition Break and Networking

1535-1620 WORKSHOPS 7-12 (repeat from 1430)

1620 Adjournment

COURSE PROGRAM – PRELIMINARY



PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

COURSE PROGRAM – WORKSHOPS

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL



1 Pelvic and Groin Pain – Kelly Brett

• recognize the differential diagnosis of pelvic and groin pain in the athlete

• summarize the unique tests for diagnosing pelvic and groin pain in the athlete

• describe appropriate indications and type of imaging for pelvic and groin pain in the athlete

2 Approaches to Sub-Acute and Chronic Low Back Pain: Diagnostic Imaging and Interventions Pain Technique

– Mark Metcalf, Charmaine Wiens• identify patients who would be appropriate candidates for

specific interventional radiology interventions for low back pain

• describe the interventions for specific pain generators in the lumbar spine

• discuss how to refer patients for interventional radiology pain procedures

3 MSK Pelvic Girdle Pain (PGP) and SI Joint Dysfunction – Diane Roylance, Noorshina Virani

• know the relevant biomechanics and functional anatomy of the SI joints

• apply a targeted approach to the recognition of pelvic girdle pain/SI joint dysfunction

• prescribe strategies for management including specific exercise/orthotics and appropriate referral for interventional procedures such as SI joint blocks

4 MSK Back Exam (hands-on) – Eric Babins, Ted Findlay, Marcus Robinson

• perform a thorough physical examination of the lumbar spine and neurological examination of the lower extremities

• recognize the indications for appropriate diagnostic imaging for low back pain

• apply the “Choosing Wisely Canada” guidelines for management of low back pain

5 Inflammatory Back Pain – Paul MacMullan

• recognize the clinical presentation of inflammatory back pain

• perform physical examination maneuvers of spine related to inflammatory spine conditions

• create a differential diagnosis for inflammatory back pain

• select appropriate laboratory and diagnostic imaging investigations for inflammatory back pain

6 Optimizing Recovery – Karen MacNeill

• discuss the role of the practitioner and mental fitness tools and strategies to manage the injury

• educate athletes in the use of mental fitness tools and strategies to manage their injuries

7 Running Injuries in the Hip and Back – Reed Ferber

• recognize the clinical presentation of different causes of running related low back and hip pain

• recognize abnormal physical examination findings for different causes of running related low back and hip pain

• recommend appropriate conservative treatments for different causes of running related low back and hip pain

8 Pediatric Hip Pathology – Carrie Kollias

• recognize the clinical presentation and different causes of pediatric hip pain, including slipped capital femoral epiphysis and Legg-Calve-Perthes Disease

• select appropriate laboratory and diagnostic imaging investigations for pediatric hip pain

• recommend appropriate conservative management of these conditions and understand when to refer to orthopedics

9 Femoral Acetabular Impingement and Labrum Tears – Nicholas Mohtadi

• recognize the clinical presentation of FAI and labral tears

• recognize abnormal hip examination findings for identifying FAI and labral tears

• select appropriate laboratory and diagnostic imaging investigations for FAI and labral tears

• recommend appropriate conservative and surgical treatments for FAI and labral tears

10 Pelvic Instability – Meaghan Evans, Kristen Grovue, Magali Robert

• appreciate why assessment of the pelvic floor is crucial for successful treatment of lumbopelvic instability

• assess the pelvic floor for dysfunction: quickly and effectively

• know the treatment options available for pelvic floor dysfunction

11 Dysfunctional Breathing – Jessica DeMars

• identify pathophysiological and biomechanical changes to breathing patterns

• describe how dysfunctional breathing contributes to pain

• screen for dysfunctional breathing patterns

• realize that correcting breathing is more than just "take a deep breath"

12 Low Back Pain in the Young Athlete – V Elaine Joughin

• recognize abnormal back examination findings for diagnosing pars interarticularis injuries

• select appropriate diagnostic imaging investigations for low back pain in young athletes

• recommend appropriate treatment for management of pars interarticularis injuries

PLANNING COMMITTEE

CALGARY PAIN EDUCATION FOUNDATION

Janice Rae RN MN Course Chair Clinical Nurse Specialist, Acute Pain Service, Foothills Medical Centre, Alberta Health Services

Penny Barnes RN BN Program Educator, Alberta Health Services Chronic Pain Centre

Connie Burkart RN MCE Program Manager, Calgary Pain Program, CDM, Primary Care, Alberta Health Services

Eloise Carr BSc (Hons) RN PGCEA RNT MSc PhD Professor, Faculty of Nursing, University of Calgary

Arlene D Cox PhD RPsych Clinical Psychologist, Calgary Chronic Pain Centre

Ted Findlay DO CCFP FCFP Clinical Assistant Professor, Department of Family Medicine, University of Calgary

Adrian Gretton MD FCFP CIME Advanced Spinal Care Centre Consultant Physician, Calgary Chronic Pain Centre; Clinical Assistant Professor, University of Calgary

Arun T Gupta MD FRCPC (PM&R) CSCN Diplomate (EMG) Dip Sports Medicine Musculoskeletal Physiatry – Interventional Spine and Sports Medicine, Advanced Spinal Care Centre, MSK Regeneration and Performance Centre, EFW Radiology; Clinical Assistant Professor, University of Calgary

Yolanda Martens-Vanhilst RN Program Manager, Calgary Foothills Primary Care Network

Michele Moon BScOT(C) MSc Clinical Educator, Department of Occupational Therapy, University of Alberta

Irene O’Callaghan RN Nurse Coordinator, Calgary Pain Program, Alberta Health Services

Diane Roylance PT BSc(Zool) BScPT FCAMPT CGIMS Physiotherapist, Fifth Ave Physiotherapy and Chronic Pain Centre

Geoff Schultz PhD R Psych Care Manager, Primary Care & Chronic Disease Management, Alberta Health Services

Chris Spanswick MB ChB FRCA FFPMRCA Clinical Assistant Professor, Department of Anaesthesiology, Peri-operative and Pain Medicine, University of Calgary; Medical Leader, Calgary Pain Program, Alberta Health Services, Calgary Zone

Brian Stewart MD CCFP FRCPC Palliative Care Specialist, Alberta Health Services, Calgary Health Region

Diane Simpson PhD MDE CME Representative

ALBERTA MEDICAL ASSOCIATION, SECTION OF SPORT AND EXERCISE MEDICINE

R Michael Galbraith DO CCFP (SEM) Dip Sport Med Course Chair Private Practice, Elite Sports Medicine (Lethbridge); Clinical Lecturer, Department of Family Medicine, University of Calgary; Clinical Preceptor, Rural Alberta South Family Medicine Residency Program

Eric Babins MSc MD FCFP Dip Sport Med Clinical Associate Professor, Department of Family Medicine, University of Calgary

Arun T Gupta MD FRCPC (PM&R) CSCN Diplomate (EMG) Dip Sports Medicine Musculoskeletal Physiatry – Interventional Spine and Sports Medicine, Advanced Spinal Care Centre, MSK Regeneration and Performance Centre, EFW Radiology; Clinical Assistant Professor, University of Calgary

V Elaine Joughin BSc MD FRCSC Dip Sport Med Clinical Associate Professor, University of Calgary

Victor Lun MSc MD CCFP Dip Sport Med Clinical Assistant Professor, Department of Family Medicine, University of Calgary; Program Co-Director, University of Calgary ES SEM PGY3 Residency

Nav Rattan DPM MD Dip Sports Med CCFP-SEM Physician, Horizon Family Medicine

Noorshina Virani MD FRCPC Clinical Associate Professor, University of Calgary, Division of Physical Medicine & Rehabilitation

Michael Wagner MD CCFP(SEM) Dip Sport Med President, Alberta Medical Association, Section of Sport and Exercise Medicine

Marni Wesner MD MA CCFP FCFP Dip Sport Med Associate Clinical Professor; Lead Physician, Basketball Canada; Past President, Alberta Medical Association, Section of Sport and Exercise Medicine; University of Alberta Glen Sather Sport Medicine Clinic

Ruth-Anne Marley BFA BEd CME Representative



FACULTY

DISCLOSURE OF POTENTIAL FINANCIAL CONFLICTS OF INTEREST

In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure will be done verbally and using a slide prior to the speaker’s presentation.

Eric Babins MSc MD FCFP Dip Sport Med Clinical Associate Professor, Department of Family Medicine, University of Calgary

Kelly Brett MD CCFP Clinical Lecturer, Department of Sports Medicine, University of Calgary

Jessica DeMars BSc PT Breathing Retraining Physiotherapist, Breathe Well Physio

Meaghan Evans BSc PT MClSc FCAMPT Physiotherapist, Alberta Health Services

Reed Ferber PhD ATC Associate Professor, Faculties of Kinesiology and Nursing, University of Calgary; Director of the Running Injury Clinic, University of Calgary

Ted Findlay DO CCFP FCFP Clinical Assistant Professor, Department of Family Medicine, University of Calgary

R Michael Galbraith DO CCFP (SEM) Dip Sport Med Private Practice, Elite Sports Medicine (Lethbridge); Clinical Lecturer, Department of Family Medicine, University of Calgary; Clinical Preceptor, Rural Alberta South Family Medicine Residency Program

Marnie Gazankas RN BScN BPE Program Manager, Calgary Foothills Primary Care Network

Adrian Gretton MD FCFP CIME Advanced Spinal Care Centre Consultant Physician, Calgary Chronic Pain Centre; Clinical Assistant Professor, University of Calgary

Kristen Grovue BScPT GunnIMS Physiotherapist, Alberta Health Services

V Elaine Joughin BSc MD FRCSC Dip Sport Med Clinical Associate Professor, University of Calgary

Carrie Kollias MD FRCSC Orthopedic Surgeon, MSK Clinic (Lethbridge)

Christine Luelo MD CCFP Medical Director, South Calgary Primary Care Network

Paul MacMullan MB ChB CCST Internal Medicine & Rheumatology; Clinical Assistant Professor, University of Calgary

Karen MacNeill PhD Registered Psychologist, Copeman Healthcare Centre

Yolanda Martens-Vanhilst RN Program Manager, Calgary Foothills Primary Care Network

Mark Metcalf BScKin MScPT FCAMPT Physiotherapist, Fifth Ave Physiotherapy

Nicholas Mohtadi MD FRCSC Orthopedic Surgeon, Sports Medicine Clinic, University of Calgary

Magali Robert MD FRCSC Professor, University of Calgary

Marcus Robinson MD CCFP Dip Sport Med Staff Physician, Calgary Stampeders & Calgary Roughnecks

Diane Roylance PT BSc(Zool) BScPT FCAMPT CGIMS Physiotherapist, Fifth Ave Physiotherapy and Chronic Pain Centre

Noorshina Virani MD FRCPC Clinical Associate Professor, University of Calgary, Division of Physical Medicine & Rehabilitation

Charmaine Wiens MD FRCPC Radiologist, Advanced Spinal Care Centre, EFW Radiology



ACCREDITATION

STUDY CREDITS

The University of Calgary – Office of Continuing Medical Education and Professional Development is fully accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS).

CFPC

MAINPRO+ GROUP LEARNING

This Group Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by the University of Calgary, Office of Continuing Medical Education and Professional Development for up to 7.0 Mainpro+ credits.

AACP

AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) AND CFPC

Members of the American Academy of Family Physicians are eligible to receive up to 7.0 prescribed credits for attendance at this meeting/event due to a reciprocal agreement with The College of Family Physicians of Canada.

RCPSC

MOC SECTION 1

This activity 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. Participants may claim up to a maximum of 7.0 credits.

AMA-PRA CATEGORY 1 CREDIT

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™. Information on the process to convert Royal College MOC credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.



ADDITIONAL PROGRAM INFORMATION

ACCOMMODATION

Registrants must make their own accommodation arrangements. We recommend:

Hotel Alma169 University Gate NW Calgary, AB T2N 1N4Phone 403.220.2588Toll Free 1.877.498.3203Email [email protected]

To obtain a University rate, please indicate the promotion code UOFC and show your CME&PD course confirmation/receipt upon arrival.

Best Western Village Park Inn1804 Crowchild Trail NW, Calgary, AB Phone 403.289.0241Toll Free 888.774.7716Email [email protected]

A limited number of rooms have been held until February 10, 2017 at the rate of $129.00 per night plus taxes. Please indicate you are with the University of Calgary Calgary Pain and MSK Clinical Pearls Combined Course to obtain this rate.

DRESS

Dress is business casual. Sweaters or items of clothing that can be layered are recommended since temperature in the venue may fluctuate.

MEALS

In general, each course offers a light breakfast, nutrition break(s) and lunch. We are sensitive to dietary requirements (for example, gluten free, peanut allergies) and do our best to offer a variety of options; however we are unable to guarantee that all dietary needs can be accommodated.

SCENT FREE

To ensure the comfort of everyone attending this event, please do not wear scented products.

COURSE CANCELLATION POLICY

The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations.

CONFIRMATION OF REGISTRATION

On-line registration confirmation is automatic after registering on-line. A tax receipt will be sent approximately 2 weeks after registering.

For all other methods of registration (mail, fax), confirmation will be in the form of a tax receipt. No other confirmation will be sent. Please allow 2 weeks for registration processing.

REFUND POLICY

A registration refund will be made upon written request if made at least 2 weeks before the start of the program. However $50 will be retained for administrative costs. No refunds will be available for cancellations made within 2 weeks of the start of the program and thereafter. NOTE: Refunds are processed only on the return of original receipt. All receipts must be returned within 30 days after program date.

REIMBURSEMENT OF REGISTRATION FEES

Physicians may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the Alberta Medical Association. For more information regarding this, please call the AMA at 780.482.2626 or 1.800.272.9680.

FOR FURTHER INFORMATION

Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6

ABOUT COURSE CONTENT

Lauren MacLellan, Program Assistant Phone 403.220.6493 Email [email protected]

ABOUT REGISTRATION

Phone 403.220.7032 Email [email protected]

REGISTRATION FEEPLUS 5% GST – UCalgary GST Registration #108102864RT0001ADD 5% TO FEE(S) BELOW TO CALCULATE TOTAL COURSE FEE

EARLY RATE on or before February 9, 2017

$ 310.00 Physician

$ 230.00 Other Health Professional

$ 170.00 Student / Resident (FULL-TIME STUDENTS ONLY)

REGULAR RATE after February 9, 2017

$ 350.00 Physician



ON-SITE RATE (Based on availability and not guaranteed)

$ 410.00 Physician



Calgary Pain and MSK Clinical Pearls Combined Course March 10, 2017

COURSE # – 10008513-10001

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Cumming School of Medicine, Office of Continuing Medical Education and Professional Development, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6

REGISTRATION SERVICESPhone 403.220.7032 Email [email protected]

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FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT Registration information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The contact information you provide is required by our Office to register you in the course, prepare material and courses for your use, plan for future courses and notify you of similar, upcoming courses offered by our Office. Financial information is used to process applicable fees and is retained for future reference. Call 403.220.4251 if you have questions about the collection or use of this information.

Part 1


Calgary Pain and MSK Clinical Pearls Combined Course March 10, 2017

REGISTRATION FORM

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Part 2

CONCURRENT WORKSHOPS SELECTIONS


Workshops 1-6 • 1055, 1145 Select 6 – Number in order of preference with 1 being most important

1 Pelvic and Groin Pain

2 Approaches to Sub-Acute and Chronic Low Back Pain

3 MSK Pelvic Girdle Pain (PGP) and SI Joint Dysfunction

4 MSK Back Exam (hands-on)

5 Inflammatory Back Pain

6 Optimizing Recovery

Workshops 7-12 • 1430, 1535 Select 6 – Number in order of preference with 1 being most important

7 Running Injuries in the Hip and Back

8 Pediatric Hip Pathology

9 Femoral Acetabular Impingement and Labrum Tears

10 Pelvic Instability

11 Dysfunctional Breathing

12 Low Back Pain in the Young Athlete


Documents

CALGARY PAIN AND MSK CLINICAL PEARLS …ASSETS/DOCUMENT/Calgary Pain and MSK Clinical... · • outline the body's innate response to injury, ... 4 MSK Back Exam (hands-on) – Meaghan