2022 Grand Rounds
2022 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.
Learning Objectives:
- Know how to use procalcitonin in CAP within our local practice setting.
- Be able to risk stratify a patient presenting with CAP and determine appropriate empiric therapy.
- Use evidence-informed treatment duration for CAP.
Bio: Dr. Kevin Afra completed Medical School and Internal Medicine at the University of Calgary, followed by an Infectious Diseases subspecialty at UBC. Kevin went on to obtain a Master of Health Administration from UBC. Kevin is currently the Medical Director of the Fraser Health Antimicrobial Stewardship Program. His clinical Infectious Diseases practice spans several Fraser Health hospitals. He is also a Clinical Instructor with UBC, not only preceptoring trainees on clinical rotations, but also leading Sepsis week in the second year medical school.
Learning Objectives:
- Inequities in the current referral systems and the data supporting those inequities.
- Possible solutions to the current inequities.
- Social justice principles in development of new programs and systems such as centralized access /single entry referrals.
Bio: Dr. Lesley Barron is a general surgeon currently working in Australia. She obtained her MD from Western University in 1996, completed her surgical training in Alberta before moving to the UK and then Australia. She was in practice in Ontario from 2008-2020, served on the board of the Ontario Medical Association, and ran in the federal election in 2019. She is interested in how our healthcare system can achieve better outcomes for patients through equity based health policy changes.
Learning Objectives:
- Evaluate the risks and benefits of menopausal hormone therapy based on the findings of the WHI and other clinically relevant studies
- Understand how to prescribe menopausal hormone therapy in appropriate candidates with menopausal symptoms
- Review new medications that are and will be available
Bio: Dr. Dy (DEE) has an office based practice in Surrey and North Vancouver. She graduated from UBC and completed her residency at the University of Alberta. She is a NAMS certified Menopause Practitioner, and she enjoys teaching residents and medical students as a clinical instructor. She has 2 kids ages 9 and 7 and enjoys textile arts in her spare time.
Learning Objectives:
- Identify risk factors for falls in older adults
- Apply an approach to falls assessment and management in acute and outpatient settings
- Review evidence for falls prevention strategies
Bio: Dr. Jessica Clark obtained her medical degree at University of Calgary and then completed Internal Medicine residency followed by Geriatric Medicine subspecialty training at University of British Columbia. She practices outpatient geriatric medicine in New Westminster and Maple Ridge as well as inpatient consultative geriatrics at Eagle Ridge and Burnaby Hospital.
Learning Objectives:
-
Learn pathophysiology of syncope
-
Prognostic implications of syncope
-
Newer management options of vasovagal syncope
Learning Objectives:
-
Review an approach to pain management in patients with opioid use disorder (OUD)
-
Discuss a common scenario that poses a challenge to management of pain or withdrawal in patient with OUD, such as acute pain while on buprenorphine/naloxone (Suboxone)
-
Describe the pharmacology of buprenorphine/naloxone (Suboxone), how it relates to microinduction, and review a sample microinduction protocol
Bio: Dr Syma Khan is a locum physician in the Emergency Department at Ridge Meadows Hospital. She completed her family medicine training in the Northern Rural program at UBC and then obtained CCFP EM certification at Dalhousie University in Halifax. She has an interest in Addictions Medicine and has spent time working at the Rapid Access Addictions Clinic at St Paul’s Hospital and is a provider for the BC Centre of Substance Use Center 24 hour addictions physician support call line.
Learning Objectives:
- Be more interested and better able to inquire about common or important adverse drug effects, and observe patients to detect them.
- Better appreciate that doctors, nurses, and pharmacists (and students) often fail to understand important adverse drug effects that are right under our eyes or ears.
- Realize that the drug list (Mar, Pharmanet, etc) makes this easier, if you have some basic knowledge of the drugs you prescribe.
Bios:
Dr Tom Perry is a general internist /clinical pharmacologist who is now retired from clinical practice. He co-chair s the UBC Therapeutics Initiative’ s Education Working Group and is Editor-in-Chief of its Therapeutics Letter (www.ti.ubc.ca). Dr Perry t rained at McGill University (medical school), Dalhousie University (rotating internship), UBC (general internal medicine) and Karolinska Institute (clinical pharmacology ). He taught basic and clinical pharmacology to UBC medical students from 1982 through 2021 and continues to teach doctors , pharmacists , NPs , and others with the Therapeutics Initiative.
Dr Aaron M Tejani is a researcher/educator/pharmacist with the Therapeutics Initiative (co-chair of the Education Working Group), a clinical assistant professor with the Faculty of Pharmaceutical Sciences (University of British Columbia), and Medication use evaluation pharmacist with Lower Mainland Pharmacy Services (Vancouver, BC). He completed his BSc (Pharm) at UBC (Vancouver) and Doctor of Pharmacy degree at Creighton University (Omaha, Nebraska).
Learning Objectives:
- Identify radiologic, histologic, and molecular features of high grade gliomas and their impact on prognosis
- Review management principles in the first line and recurrent setting
- Assess impact of the COVID-19 pandemic on treatment and outcomes of high grade gliomas in British Columbia
Bio: Dr. Chahal was born and raised in Edmonton, Alberta and completed her BSc in Biological Sciences at the University of Alberta. Her interest in neuro-oncology began as she pursued her PhD in Experimental Oncology at the UofA. The focus of her thesis was on translational research and the role of the DNA repair protein MGMT in glioblastoma angiogenesis, invasion, and response to angiogenic inhibitors. Dr. Chahal then obtained her medical degree at Queen’s University in Kingston, Ontario, and moved to Vancouver in 2016 where she has subsequently completed her Internal Medicine Residency, Medical Oncology Subspecialty Residency, and Neuro-oncology Fellowship at the University of British Columbia and BC Cancer- Vancouver Centre.
Learning Objectives:
- Understand the risks associated with an inappropriate antibiotic allergy label, with a focus on penicillin allergy
- Discuss the prevalence and natural history of penicillin allergy
- Develop an approach to managing antibiotic allergies in the hospital
- Compare cross-reactivity patterns of different classes of antibiotics
Bio: Dr. Angeliki Barlas attended medical school at the University of Saskatchewan followed by her residency in Internal Medicine and fellowship in Clinical Immunology and Allergy at the University of British Columbia. She recently opened an outpatient practice, Aera Medical Specialists Clinic, with her husband, Dr. David Han, who is an adult respirologist. In addition to her outpatient practice at Aera Medical, Dr. Barlas is a consultant at Royal Columbian Hospital in New Westminster. Dr. Barlas accepts all allergy related referrals for patients age 5 and older. Her subspecialty interests include allergic rhinitis, severe allergic asthma, and chronic urticaria.
Learning Objectives:
- Discuss importance of breast density and how it is determined
- Discuss new modes of breast imaging and when they may be useful
- Discuss what oncoplastic breast surgery is and why it is useful
- Review breast implant associated ALCL & how to diagnose and treat it
- Review non-wire modes of localizing breast lesions
- Discuss causes and treatment of breast pain