Download a PDF file with MIRICM 2017 brochure (1,8 MB).
EBM and clinical practice guidelines in contemporary healthcare
Conference & workshops
Venue: Kraków, ICE Kraków Congress Centre (see Venue)
Organizer: Polski Instytut Evidence Based Medicine (Polish Institute for Evidence Based Medicine)
Co-organizers: McMaster University, Naczelna Izba Lekarska (The Polish Chamber of Physicians and Dentists), Medycyna Praktyczna
Organizing Committee
From McMaster University
Prof. Gordon Guyatt
Prof. Roman Jaeschke
In Poland
Dr. Piotr Gajewski
Dr. Maciej Hamankiewicz
Prof. Romuald Krajewski
Prof. Jerzy Kruszewski
Dr. Wiktoria Leśniak
Anna Bagińska
Ewa Chałupa
Shawn Locke
Speakers and workshop trainers
Prof. Gordon Guyatt (McMaster University, Canada), Conference Chair
Prof. Waleed Alhazzani (McMaster University, Canada)
Prof. P.J. Devereaux (McMaster University, Canada)
Prof. Roman Jaeschke (McMaster University, Canada)
Prof. Maureen Meade (McMaster University, Canada)
Prof. Victor M. Montori (Mayo Clinic, USA)
Conference
Rationale: Delivering optimal medical care requires being able to locate, understand, interpret and apply evidence from the medical literature. Trustworthy clinical practice guidelines, ideally developed using the GRADE system, are crucial to the practice of the evidence-based medicine (EBM). This series of lectures will highlight key concepts in EBM, GRADE and clinical practice guidelines.Content: The content will include the fundamental concepts of EBM, explain the GRADE system of developing clinical practice guidelines and highlight strategies for avoiding being misled by the medical literature.
Objectives:
- To gain an understanding of the fundamental concepts of EBM.
- To be able to critically appraise and understand the presentation of results of a systematic review.
- To understand the GRADE approach to developing and presenting the recommendations of clinical practice guidelines.
- To develop strategies to avoid being misled by the medical literature.
Programme
| 10.00–10.10 | Introduction |
| 10.10–10.30 | Our deceptive mind: why reasoning methods matter Prof. Gordon Guyatt |
| 10.30–10.50 | Basic language of EBM and clinical practice guidelines Prof. Roman Jaeschke |
| 10.50–11.10 | NNT, NNF, Fragility Index, CI: how to understand these numbers Prof. P.J. Devereaux |
| 11.10–11.30 | What is the best way to achieve quality assurance Prof. Gordon Guyatt |
| 11.30–12.00 | Refreshment break |
| 12.00–12.20 | How to avoid being misled by clinical trials Prof. Victor M. Montori |
| 12.20–12.40 | Summarizing the evidence: from questions to facts Prof. Gordon Guyatt |
| 12.40–13.00 | How to develop trustworthy clinical practice guidelines Prof. Waleed Alhazzani |
| 13.00–13.20 | EBM, clinical practice guidelines and the patient revolution Prof. Victor M. Montori |
| 13.20–14.00 | Questions and answers (all speakers) |
| 14.00–15.00 | Lunch break |
| 15.00–17.00 | EBM workshops |
Workshop 1: Therapy (15.00–17.00)
Rationale: Ability to critically appraise a randomized trial, which is central to the practice of EBM.Content: This workshop will use an example, steroids for community-acquired pneumonia, to illustrate the key elements of assessing risk of bias of randomized trials, understanding the results and applying the results to clinical practice.
Objectives:
- To learn how to assess risk of bias in randomized trials, including issues of concealment of randomization, blinding and loss to follow-up.
- To gain insight into how results of randomized trials are presented, including issues of relative effects, absolute effects and confidence intervals.
- To gain insight into issues of applying results of randomized trials in clinical practice including patients enrolled versus the patient before you, magnitude of benefits and harms and patient values and preferences.
Workshop 2: Systematic reviews (15.00–17.00)
Rationale: Ability to critically appraise a systematic review, which is central to the practice of EBM.Content: This workshop will use an example, steroids for community-acquired pneumonia, to illustrate the key elements of assessing the quality of a systematic review and the trustworthiness of the results it reports.
Objectives:
- To learn how to assess key elements of the quality of a systematic review, including question definition, search for evidence and summarization of evidence.
- To learn how to evaluate the credibility of the results presented in a systematic review, including issues of study design, risk of bias, precision, directness and publication bias.
Workshop 3: Clinical practice guidelines (15.00–17.00)
Rationale: Ability to identify a trustworthy guideline, which is central to the practice of EBM.Content: This workshop will use an example, steroids for community-acquired pneumonia, to illustrate the key elements of assessing the quality of a clinical practice guideline.
Objectives:
- To learn to identify the key issues to consider in judging the trustworthiness of a clinical practice guideline.
- To understand strategies for mitigating the impact of conflict of interest in guidelines.
- To understand strategies for ensuring the best current evidence informs guidelines.
- To understand the role of values and preferences in the context of a guideline.
- To understand the meaning and significance of strong and weak recommendations emerging from a guideline.
Fees
Conference: 80 € (free for MIRCIM participants; registration required)
Workshops: 60 € per one workshop (30 € for MIRCIM participants; registration required)
EBM and Clinical Practice Guidelines in Contemporary Healthcare Conference and Workshops – This event is funded per contract 794 / P-DUN / 2017 by the Minister of Science and Higher Education, dedicated to the dissemination of science.
Clinical workshops
- Effective therapy of type 2 diabetes mellitus
- Electrocardiography in acutely ill patients
- How to read a chest X-ray: primer for non-radiologists
- Ultrasound in rheumatology: small joint examination course
- Compression ultrasound in diagnosing deep vein thrombosis
- Point-of-care ultrasound (PoCUS) in volume status examination
- Airway management (students only)
- Cardiac arrest management (students only)
- Current and future management of cystic fibrosis
Effective therapy of type 2 diabetes mellitus
Part I: New drugs for type 2 diabetes mellitus: for whom, which and when
Part II: Choosing the best model of insulin therapy in type 2 diabetes mellitus
| Speakers and trainers |
Prof. Maciej M. Małecki (Jagiellonian University, Kraków, Poland) (Part I) Prof. Tomasz Klupa (Jagiellonian University, Kraków, Poland) (Part II) |
| Time | 12:00–14:20 (physicians only) |
| Max. number of participants | 20 |
| Fee | 60 € (30 € for MIRCIM participants) |
| Description |
Rationale: A patient-centered approach to type 2 diabetes (T2DM) management has become a standard of care in recent years. As highlighted in clinical guidelines, treatment of patients with diabetes must be individualized. Such an approach to the care requires unique management plan for each patient for effective glucose control and prevention of negative long-term outcomes. There are many therapies available, including new drugs and technologies, but choosing the best treatment option for individual patient involves complex decision-making and may be challenging. In Part I, this workshop will discuss the management of T2DM in different clinical settings, including issues related to the most accurate, personalized drug choice with special attention to new medications available. In Part 2, different models of insulin therapy will be presented, explained and discussed with the attendees. Learning objectives:
|
Electrocardiography in acutely ill patients
| Speakers and trainers | Prof. Sebastian Stec (University of Rzeszów, Poland) |
| Time | 11:00–13:00 (students only) 15:00–17:00 (physicians only) |
| Max. number of participants | 50 (per session) |
| Fee | 60 € (30 € for MIRCIM participants and students) |
| Description |
Rationale: ECG remains an essential investigation in acutely ill patients. Interpretation of ECG continues to be one of the basic skills expected from clinicians caring for such patients. Structured, careful and fast but detailed ECG analysis helps arriving at a correct diagnosis and improves patients’ care and outcomes. Learning objectives: This workshop is designed to build your knowledge, skills and confidence in a step-by step rapid interpretation of ECG. In a case-based fashion, we will discuss the definition and differential diagnosis of narrow and wide QRS tachycardia as well as value of ECG in the setting of syncope, chest pain, shortness of breath and atypical symptoms. We will also explore common tricks and traps of ECG interpretation. |
How to read a chest X-ray: primer for non-radiologists
| Speakers and trainers | Prof. Julian Dobranowski (McMaster University, Canada) |
| Time | 13:20–14:50 (students only) 15.30–17.00 (physicians only) |
| Max. number of participants | 30 (per session) |
| Fee | 60 € (30 € for MIRCIM participants and students) |
| Description |
Rationale: Despite the introduction of various technological advancements in medical imaging, the chest x-ray remains the most frequently requested radiological investigation. Learning how to interpret a chest x-ray is among the most important and challenging skills to master in caring for patients. However, many practicing physicians find themselves ill-equipped to make confident chest x-ray interpretations. The interpretive process need not stir up negative emotions. With the proper grounding in knowledge, procedures and principles, chest x-ray interpretation can be rewarding to the learner and, more importantly, can lead to accurate extraction of information, leading to better patient outcomes. Learning objectives: This workshop is designed to build your confidence in the interpretive process using a step-by-step algorithm. Participants will learn how to confidently distinguish between a normal and an abnormal chest x-ray and acquire specific interpretive skills that can be applied to daily practice. The workshop will also focus on practicing the newly acquired interpretive skills with numerous relevant clinical cases. |
Ultrasound in rheumatology: small joint examination course
| Speakers and trainers |
Prof. Bhaskar Dasgupta (Southend University Hospital, UK) Dr. Artur Bachta (Military Institute of Medicine, Warsaw, Poland) Dr. Jacek Fliciński (Pomeranian Medical University, Szczecin, Poland) Dr. Aleksandra Juszkiewicz (Military Institute of Medicine, Warsaw, Poland) Dr. Renata Sokolik (Wroclaw Medical University, Poland) Dr. Anetta Chrzanowska (Department of Rheumatology, Józef Dietl Hospital, Kraków Poland) Dr. Monika Krężołek (Department of Rheumatology, Józef Dietl Hospital, Kraków Poland) |
| Time | 11.00–17.00 (physicians only) |
| Max. number of participants | 25 |
| Fee | 180 € (90 € for MIRCIM participants) |
| Description |
Target audience: Rheumatologists, internists, trainees, sonographers, allied health professionals. Learning objectives: Attendees will be familiarized with:
|
Compression ultrasound in diagnosing deep vein thrombosis
| Speakers and trainers | Dr. Marzena Frołow (Jagiellonian University, Kraków, Poland) |
| Time | 11:00–12:40 (physicians only) |
| Max. number of participants | 15 |
| Fee | 60 € (30 € for MIRCIM participants) |
| Description |
Rationale: B-mode compression ultrasound (CUS) has become the diagnostic modality of choice for deep vein thrombosis (DVT). The 3-point CUS has high sensitivity and specificity for DVT. It allows for diagnosis at the point of care and decreased demand on radiology departmental services. Standard 3-point CUS includes examination of the upper femoral vein, lower femoral vein and popliteal fossa. Learning objectives: Attendees will be familiarized with:
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Point-of-care ultrasound (PoCUS) in volume status examination
| Speakers and trainers | Prof. Khalid Azzam (McMaster University, Canada) |
| Time | 11:00–12:45 (physicians only) |
| Max. number of participants | 25 |
| Fee | 60 € (30 € for MIRCIM participants) |
| Description |
Rationale: Point-of-care ultrasound (PoCUS) is a limited ultrasound examination performed and interpreted by the clinician at the bedside or in the ambulatory setting to answer a focused clinical question or guide the performance of an invasive procedure. PoCUS is known to increase the accuracy of the physical examination. There is an increasing interest among clinicians to use PoCUS for diagnostic application but hands-on training opportunities continue to be limited. This workshop is an introduction to PoCUS with a focus on volume status assessment. Physical examination for volume status is usually inaccurate and jugular venous pressure examination has large inter-rater variability. This hands-on interactive workshop will introduce participants to the practice of using bedside ultrasound for volume status examination. It will cover lung ultrasound (lung sliding, A-line, B-line, pleural effusion), abdominal fluid, inferior vena cava measurement and interpretation and volume responsiveness. Learning objectives: At the end of this workshop, participants will be able to:
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Airway management (No more spaces available)
| Speakers and trainers | Dr. Grzegorz Cebula (Jagiellonian University, Poland) Dr. Jarosław Gucwa (County Hospital, Bochnia, Poland) |
| Time | 11:00–13:00 (students only) |
| Max. number of participants | 18 |
| Fee | 30 € (student fee) |
| Description |
Securing airways is frequently the most time-sensitive and anxiety-provoking challenge faced by clinicians. Although short, this workshop is intensive, practical and hands-on. It will provide the participants with the opportunity to practice airway management involving a variety of techniques, including laryngoscopy, supraglottic airway use and even cricothyroidotomy. To get the most out of this workshop, it is crucial that you attend the session prepared. Please help us by familiarizing yourself with the following resources:
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Cardiac arrest management (No more spaces available)
| Speakers and trainers | Dr. Grzegorz Cebula (Jagiellonian University, Poland) Dr. Jarosław Gucwa (County Hospital, Bochnia, Poland) |
| Time | 14:20–17:00 (students only) |
| Max. number of participants | 18 |
| Fee | 30 € (student fee) |
| Description |
Rationale: Cardiac arrest is the most time-sensitive and demanding challenge faced by clinicians. Rapid assessment and life-saving treatments have to be implemented immediately. The goal of this cardiac arrest simulation (CAS) workshop is to equip participants with practical skills. The workshop will provide a number of stations simulating acute clinical situations. Learning objectives: By the end of this workshop, the participants should be able to:
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Current and future management of cystic fibrosis
| Speakers and trainers | Prof. Andreas P. Freitag The Polish Cystic Fibrosis Society (Polskie Towarzystwo Mukowiscydozy) is an official patron of the workshop. |
| Time | 15:00–17:00 (physicians only) |
| Max. number of participants | 25 |
| Fee | 60 € (30 € for MIRCIM participants) |
| Description |
Rationale: The number of adult cystic fibrosis (CF) patients is growing in most countries. Managing a CF patient is a complex process involving a multidisciplinary team. During the workshop, evidence-based information on state-of-the-art CF management will be discussed. The workshop will be case-based, aimed at acquiring practical skills.
Learning objectives: Upon completion of this interactive workshop, participants will improve their skills on the general approach to an adult CF patient; controlling infections in the chronic care; physiotherapy and nutrition (from the internist’s point of view); treatment of exacerbations, including appropriate antibiotic therapy and respiratory support; when and whom to consult (multidisciplinary care in practice); effective communication with the patient (including family planning and end-of-life issues); and providing end-of-life care. |
Download a PDF file with MIRICM 2017 brochure (1,8 MB).
