2024 Grand Rounds
2024 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:
- Differentiate depression as a clinical entity vs. normative anticipatory grief
- Review management strategies highlighting evidence-based literature and its limitations
- Discuss management of other psychiatric symptoms/syndromes in advanced cancer
Bio: Dr. Mark Katz is a graduate of the University of Toronto Department of Psychiatry and has spent over 30 years working in Consult Liaison Psychiatry and Psycho-oncology at University Health Network and then Southlake Regional Health Centre.
A former Provincial Head of PSO at Cancer Care Ontario, his academic and clinical interests have included Depression in Cancer, Psychosocial Oncology Service Delivery Standards, and more recently Medical Assistance in Dying.
He has taught extensively at the Undergraduate, Postgraduate and CME levels.
Learning Objectives:
- Importance of respecting culture during end-of-life care
- Weaving together traditional medicine and western practices
- What does cultural safety in the hospital look like? What can the hospital staff do tocreate a more welcoming and respectful environment?
- Indigenous family systems (‘immediate family only” looks different for us and rarelydo we leave our loved ones alone)
Bio: Chief Grace George is the chief of Katzie First Nation and also holds the portfolio for health in the community. Her husband Damian George, comes from Tsleil-Waututh and is the grandson of Chief Dan George. He works as a cultural advisor, and both are strong in cultural teachings, bringing their knowledge, leadership and kindness as we walk together on the journey of cultural safety for Indigenous people.
Learning Objectives:
- At the end of this session, participants will be able to identify common types of wounds.
- At the end of this session, participants will be able to select wound care product options.
- At the end of this session, participants will be able to access resources to assist in assessment and treatment of wounds
Bio: I have been nursing in Fraser Health since 2010 on Medical and Surgical floors. I studied Wound + Ostomy nursing in 2016 and have been practicing in this field ever since, initially with the teams at RCH and ARH. I started in the NSWOC (Nurse Specialized in Wound Ostomy Continence) at Ridge Meadows Hospital in 2020. I am passionate about supporting frontline staff with resources and education to care for their patients’ skin integrity, wounds, and ostomies. My portfolio includes new ostomies and complex wounds for inpatients at Ridge Meadows Hospital by Meditech referral.
Learning Objectives:
- Understand the concept of laboratory test misutilization
- Identify barriers and facilitators in reducing laboratory test over-utilization
- Develop an approach to rational laboratory test selection
Bio: Dr. Anshula Ambasta is a general internal medicine physician, an assistant professor in the Department of Anesthesia, Pharmacology and Therapeutics at UBC’s faculty of medicine, and a member of the Therapeutics Initiative.
She is an early career researcher who earned a Masters in Public Health at the Harvard T.H. Chan School of Public Health in Clinical Effectiveness. Her research focuses on improving the value of healthcare services using evidence-based
implementation strategies. She has been awarded grants from the Canadian Institutes of Health Research, University of British Columbia, Choosing Wisely Alberta, Alberta Health Services, and the University of Calgary.
Most recently, Anshula has been awarded a Canadian Institutes of Health Research Project Grant to Re-Purpose the Ordering of Routine laboratory Tests in hospitalized medical patients (RePORT), using multi-modal evidence-based de-implementation strategies across 30 hospitals in British Columbia and Alberta. RePORT study will be implemented and evaluated in a cluster-randomized stepped-wedge design, in close partnership with a dedicated RePORT Patient Advisory Council.
Learning Objectives:
- Understand common outpatient urology conditions and general approach to diagnosis and treatment.
- Understand common ER urology conditions and general approach to initial treatment.
- Understand common inpatient urology conditions and approach to treatment and referral.
Bio: Dr. Bay completed his medical school and Urology Residency at UBC. He then obtained sub-specialized training at McMaster with a focus in robotic surgery, laparoscopic surgery and endo urology. Outside of clinical work, he has special interest in quality improvement and education. He was hired full time at Ridge Meadows Hospital in July 2023.
Learning Objectives:
- Explain the roles of FH regional AMS program
- Describe the burden of antimicrobial resistance worldwide and within Canada
- Describe 3 new antimicrobials used for multidrug-resistant pseudomonas and their mechanisms of action
- Apply new evidence on shortened duration of treatment for uncomplicated gram-negative bacteremia in a patient case
- Differentiate uncomplicated from complicated gram-negative bacteremia and explain its implication on duration of treatment
- Apply new evidence from the literature on IV to PO stepdown in uncomplicated gram-negative bacteremia in a patient case.
- Be familiar with the duration of treatment for common infections (e.g. pneumonia, UTI) using resources provided
Bio: Maggie is the pharmacy coordinator for Fraser Health antimicrobial stewardship program (AMS) in British Columbia. Her interest in infectious diseases began when she was the outpatient antimicrobial therapy clinic (OPAT)/home IV pharmacist from 2012 to 2016. She subsequently worked as an inpatient AMS pharmacist at various sites prior to becoming the coordinator. She has done a few quality improvement projects on topics such as asymptomatic bacteriuria and reducing the use of broad-spectrum antibiotics in a vascular ward. Her research interests include carbapenemase-producing organisms and multidrug-resistant pseudomonas aeruginosa
Learning Objectives:
- Define perioperative medicine
- Outline the role of the pre-operative medical assessment
- Identify common areas for pre-operative optimization or investigation
- Describe Myocardial Injury After Non-cardiac Surgery (MINS)
- Address other common post-operative medical issues including post-operative atrial fibrillation
Bio: Dr. Daniel Moller completed his fellowship in General Internal Medicine with a focus on Perioperative Care at McMaster University and the University of British Columbia. He later joined the Division of General Internal Medicine at UBC in 2022. Within the division, Dr. Moller provides full spectrum perioperative care including both outpatient pre-operative medical optimization and acute inpatient care as part of a dedicated perioperative service. More recently, he developed an outpatient clinic that provides optimization before complex spine surgeries as well as post-operative care for complications including myocardial injury after non cardiac surgery and post-operative atrial fibrillation. Dr. Moller has also practiced full spectrum internal medicine and critical care at Ridge Meadows Hospital for the last three years. He is passionate about teaching and is a clinical skills instructor, resident mentor, and a member of the GIM fellowship Competence Committee. In his spare time, you’ll find him trail running on Vancouver’s North shore.
Learning Objectives:
- To appreciate new provincial guidance on substance use in acute care.
- To understand initial strategies for managing OUD in hospital.
- To gain awareness of tools for managing alcohol withdrawal and AUD.
Bio: Dr. Koehn is an Addiction Medicine physician at the Royal Columbian Hospital. He is the current Interim Regional Department Head for Addiction Medicine and Substance Use Services in Fraser Health. Since 2014 he has practiced addiction medicine in a variety of hospital and community-based settings including at treatment centres, OAT Clinics, RAAC, and private office. He lives in Surrey with his wife and two daughters.
Learning Objectives:
- Understand the performance enhancing nature of stimulant medication
- Understand the process of diagnosing and Treating ADHD in those with substance use or psychotic disorders
- Understand the relationship between stimulants and psychosis
- Understand how to treat psychosis in those with stimulant use disorder
Bio: Dr. Mathew completed an addiction psychiatry fellowship at Yale University and a forensic psychiatry fellowship at the University of British Columbia. He is a Clinical Professor at the University of British Columbia. He is currently working at Youth Forensics, the Forensic Clinics and is the Medical Director for Complex Concurrent Disorders at PHSA.