2021 Grand Rounds
2021 Grand Rounds
Grand Rounds are accredited group learning activities as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada.
If you would like to know the learning objectives from any of the Grand Rounds below, please contact the MSA.
• Treating common anorectal problems appropriately and confidently.
• Identifying which anorectal problems should be referred on.
Learning objectives:
To provide an overview of IMIT projects affecting physicians, including:
• Front End Speech Recognition (FESR), including product demo
• Unified Clinical Information (UCI), including product demo
• Advance (Meditech Expanse) project implementation update, including product demo
View and download a copy of the presentation here: Technology Updates for FH Physicians
Learning Objectives:
- Identify and diagnose opioid use disorder.
- Effectively and safely conduct a traditional buprenorphine/naloxone induction.
- Identify and manage precipitated withdrawalDescribe micro-induction strategies for buprenorphine/naloxone.
- Evaluate which patients would be appropriate for a home induction of buprenorphine/naloxone and explain how to do a home induction.
- Identify strategies for management of pain in hospitalized patients taking buprenorphine/naloxone.
Topic: Physician Burnout, Supports and Resources: An overview of the BC Physician Health Program
Learning Objectives:
- Understand the risk of burnout, SUD and suicide among physicians
- Describe health services available to physicians and their families through the BC PHP
- Describe the process for supporting a colleague you are concerned about
Bios: Dr Bill Cavers is the Acting Vice President of the Physician Health Program. He served as the Doctors of BC President in 2014-2015 and as a Co-Chair of the General Practice Services Committee for several years. He has also held the roles of President of the Society of General Practitioners, and Member of the Medical Services Commission among many others.
Felicia Phan is the Physician Health and Wellness Liaison for the Physician Health Program. Previously, she worked as an Analyst with the GPSC Practice Support Program and she has a graduate degree in Public Health.
Topic: Interstitial Lung Disease (ILD) Demystified – A practical approach to pulmonary fibrosis for non-ILD physicians in the community
Learning objectives:
- Review common causes of ILD
- Discuss the work up and management of pulmonary fibrosis
- What’s new in ILD – a brief update on new pharmacotherapies
Bio: Dr Tiffany Winstone (MD) is a respirology graduate from the University of British Columbia. She completed additional training at Harvard University in Boston, Massachusetts, where she graduated from the Program in Clinical Effectiveness. In January 2017 she finished her post-doctoral fellowship in the area of interstitial lung disease in Vancouver, BC. Shortly thereafter she started her position as an ILD specialist with Fraser Health. Her practice is based out of Burnaby, and she works full time at Burnaby hospital. She is also a Clinical Assistant Professor in the UBC Department of Medicine, Division of Respiratory Medicine.
Learning Objectives:
- To understand the pathophysiology of appendicitis
- To understand the options in management
- To understand the criteria for different management options and how these may apply in local practice
Bio: Dr. Bohacek graduated from the University of Toronto School of Medicine, and completed her General Surgical Residency and a Master’s of Science degree in Epidemiology at Memorial University in Newfoundland. She then obtained a Fellowship in Endocrine Surgery at the Cleveland Clinic. Linda joined the staff at Ridge Meadows in 2018, where she currently practices general surgery, with a special interest in endocrine (thyroid and parathyroid) surgery. Outside of work Linda enjoys biking, hiking, kayaking, travel, and painting. She is currently a board member of the Physician Engagement Society.
Learning Objectives:
1.Understand the growing practice of vaping amongst youth
2.Consider the potential harmful effects of vaping
3.Review the evidence for vaping products as “harm reduction” or cessation tools
4.Reflect on the current regulatory framework for vaping
Bio: Milan Khara, MBChB, CCFP, Dip. ABAM MD, Active member in the VCH “Break Free” Program, Medical Lead of the Vancouver General Hospital Smoking Cessation Clinic, Advisor to the office of the Chief Medical Health Officer at VCH on tobacco control matters, Active member in the TEACH project, Clinical Assistant Professor at the University of British Colombia’s Faculty of Health Science.
Learning objectives:
- To understand the epidemiology and pathophysiology of necrotizing fasciitis
- To recognize the clinical features and how to make the diagnosis of necrotizing fasciitis
- To review of the antibiotic treatment of necrotizing fasciitis
- To review the surgical management of necrotizing fasciitis
Bio: Dr. Hughes graduated from UBC Medical School in 1995 and did a Physical Medicine & Rehabilitation residency at UBC. She then returned to UBC to complete an Internal Medicine Residency, finishing in 2011.
Learning Objectives:
- To integrate knowledge of the epidemiology of chlamydia and gonorrhea in Canada, and their log-term complications into your practice
- To differentiate at-risk groups and choose evidence based screening tests to check for these STI’s
- To explain implications and recommendations to a patient regarding a positive chlamydia or gonorrhea result
Learning Objectives:
- Identify personal and interpersonal resources that help in addressing moral distress and supporting moral wellness in healthcare practice
- Describe the moral wellness/distress debriefing process we use in Fraser Health and
- Apply the steps in debriefing morally challenging experiences faced in healthcare practice.
Bio: Allen Alvarez, PhD, is an Ethicist at Fraser Health who leads the Ethics Education and Research portfolio of the Ethics and Diversity Services Team. He partners with health care leaders in the region to build capacity in addressing ethical challenges in patient care and the healthcare system. Trained as a philosopher specializing in bioethics, Allen completed a postdoctoral fellowship in technology ethics at UBC and NTNU in Norway after writing a PhD dissertation on ethics of healthcare resource allocation in extreme scarcity. Allen currently works to ‘translate’ the prevailing bioethics understandings of rational basis for decisions and ethics guidance to health care practice; focusing on the role of situatedness, context, relationships, and perceived authority. He collaborates with learners in discovering and developing guiding values within our changing motivations. He also supports disseminating new ethics knowledge by serving as one of the editors of the Nordic Journal of Applied Ethics (https://www.ntnu.no/ojs/index.php/etikk_i_praksis/about/editorialTeam)