Day 1 (Thursday, September 29, 2022)
Conference Centre Faculty of Medicine
Jagiellonian University Medical College
ul. św. Łazarza 16, 31-530 Kraków
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Hands-on workshops
Some workshops may overlap.
We advise you to check the schedule before registering.
You can register for the workshop without being a participant of the entire MIRCIM course.
14:00-15:30
Speakers and trainers:
Prof. Bram Rochwerg (McMaster University, Canada)
Max. number of participants: 25
Fee: free of charge
Eligible participants: Physicians and students
Duration: 1 hour 15 minutes
Description: Curious about nasal high flow therapy and its application outside of COVID-19? Join us at this workshop to put nasal high flow into practice through a series of patient case studies. The workshop will cover the clinical evidence relating to the use of the therapy and provide an opportunity to use/play with the equipment.
Learning Objectives:
- Gain an understanding of the current evidence based uses of nasal high flow therapy.
- Learn how to set up a standalone nasal high flow device ready for a patient or a healthy volunteer!
- Put the evidence into practice, through a series of patient case studies.
- Discuss principles to guide initiation, monitoring and weaning for a patient on nasal high flow therapy.
13:00-14:00
Speakers and trainers:
Prof. Simon Oczkowski (McMaster University, Canada)
Max. number of participants: 25
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour
Rationale: Intravenous (IV) fluid resuscitation remains a cornerstone in the management of seriously ill patients. Given in large volumes, IV fluids can exert significant effect upon serum electrolyte concentrations and acid-base status. Understanding these interactions assist with diagnosis and management of metabolically complex patients.
Learning objectives: At the conclusion of this workshop, attendees will be familiarized with:
- The interactions between acid-base status, electrolytes, and fluid therapy.
- Three complementary approaches to interpreting acid-base disorders.
- A practical, integrated approach to managing acid-base status, fluids, and electrolytes.
15:00-16:00
Speakers and trainers:
Prof. Leszek Czupryniak (Medical University of Warsaw, Poland)
Max. number of participants: 30
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour
Rationale: Type 2 diabetes is one the most common chronic diseases in the world, with increasing incidence, affecting from people from childhood to advanced age. In recent years type 2 diabetes therapy has undergone substantial changes, mostly due to the arrival of the medications which apart from lowering blood glucose lead to the reduction of cardiovascular risk and are free from hypoglycemic risk.
Learning objectives:
- understanding of current possibilities to prevent vascular complications of diabetes
- understanding the need for early intensification of antidiabetic therapy
- how to use newer antidiabetic therapies in various type of patients
- how to combine drugs from various therapeutic groups
- how to delay insulin therapy initiation in type 2 diabetes
16:30-17:30
Supported by the Indian College of Physicians
Speakers and trainers:
Dr Amit Kalwar (India)
Panelists: Prof. Jyotirmoy Pal, Prof. Nandini Chatterjee
Max. number of participants: 30
Fee: Free of charge
Eligible participants: Physicians and students
Duration: 1 hour
Rationale: The tropics are regions of the Earth surrounding the Equator. Tropical diseases are diseases that are prevalent in or unique to tropical and subtropical regions. The diseases are less prevalent in temperate climates, as lower temperatures control the insect population. Current history suggests that tropical areas of the world are more harshly affected by infectious diseases than the temperate world. Environmental and biological factors are responsible for the biodiversity of pathogens, vectors, and hosts, but social factors also play a role in the spread of these diseases, common among them being malaria, leishmaniasis, Chagas disease, and sleeping sickness, and the others being schistosomiasis, onchocerciasis, and lymphatic filariasis. Viral diseases like dengue fever and chikungunya are also rampant in these tropical areas.
Human exploration of tropical rainforests, deforestation, rising immigration, and increased international air travel as well as other tourism to tropical regions have led to an increased incidence of such diseases in nontropical countries. A cholera outbreak originally occurred in the Jessore District of undivided Bengal in 1818, but the British army helped it spread to England. During extensive voyages of the Europeans in the 19th century, tropical infectious diseases spread from one part of the continent to other continents. In the 20th century, during the First and Second World War, there were massive troop movements across the world, and diseases spread like wildfire among the soldiers and also globally. The post–World War society moved towards industrialization and urbanization. This led to environmental changes, including changes in the sewerage system, which favored the growth of vectors and spread of diseases. Towards the end of the 20th century, there was an exponential increase in international travel, which further aggravated the threat of tropical diseases to nontropical countries.
Most of the tropical countries are overcrowded and economically compromised. Poor hygiene and crowded habitations and slums are part and parcel of this part of the globe, leading to expansion of the vector population, human-to-human transmission, and repeated epidemics. At the same time, due to poor health infrastructure, many of the diseases are not properly diagnosed, which results in significant mortality and morbidity. Accordingly, what was initially thought to be tropical diseases, has now become a global challenge.
Over the course of time tropical diseases have emerged as a separate specialty due to the diversity in presentation. Symptoms are often atypical and overlap in many of the infections. Tropical infections often present in late stages. Due to the paucity of diagnostic facilities in many parts of the tropics, accurate etiological diagnosis may not be possible or the diagnosis is delayed, which hampers prompt treatment and worsens the outcome. Therefore, syndromic approach is often appropriate to address these infections in resource-limited countries. There are challenges in the management and follow-up. For these reasons tropical infectious diseases need to be addressed in a comprehensive way that is easily understandable and useful to practitioners and students.
Learning objectives:
- Domains of tropical fever
- Syndromic approach to the diagnosis of tropical fever
- Fever with rash
- Diagnostic dilemmas: case-based discussions
- Challenges in management and algorithms
- Special issues in a nonendemic population subset: travel to endemic zones
- Vaccination and prevention
12:00-13:30
Speakers and trainers:
Dr. Marzena Frołow (Jagiellonian University, Poland)
Max. number of participants: 16
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes
Rationale: B-mode compression ultrasound (CUS) has become the diagnostic modality of choice for deep vein thrombosis (DVT). 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. Some CUS’s protocols extend the test area to the veins of the calf.
Learning objectives: Attendees will be familiarized with:
- Basic ultrasound unit settings for CUS.
- Applied sonoanatomy of deep veins of lower extremities.
- Technique of different protocols of CUS.
- No basic skills in ultrasound examination are required from participants.
10:00-12:00
Speakers and trainers:
Dr. Grzegorz Cebula (Jagiellonian University, Poland)
Max. number of participants: 16
Fee: 30 €
Eligible participants: Physicians and students
Duration: 2 hour 30 minutes
Rationale: Cardical arrestis the most time-sensitive and demanding challenge faced by clinicians. In such scenarios, 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 provides a number of stations with simulations of acute clinical situations.
Learning objectives: By the end of this workshop, the participants will be able to:
- Understand the concept of CAS training, including the concept of role-playing and the importance of nontechnical skills in resuscitation attempts.
- Understand the importance of teamwork and leadership in the management of cardiac arrest.
- Understand the treatment algorithms of shockable and nonshockable rhythms.
- Apply the current guidelines and skills taught in the workshop to practical management of the patient with cardiac arrest.
- Apply the skills, attitude, and knowledge required to function as a member of a resuscitation team.
- Apply the skills, attitude, and knowledge required to lead a resuscitation team.
- Understand the use of nontechnical skills in cardiac arrest teams.
16:30-18:00
Speakers and trainers:
Prof. Roman Jaeschke (McMaster University, Canada)
Max. number of participants: 12
Fee: Free of charge
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes
Rationale: Current clinical practice is frequently guided by the results of clinical trials. Ability to look for and identify elements of reporting of clinical trials which may distort their real clinical meaning is relevant for clinicians and policy makers.
Content: This workshop will use clinical examples to explore issues choosing appropriate outcomes, reporting relative and absolute effects of treatments, generalizing results, and moving from evidence to action.
Objectives: To gain skills in assessing the reporting of key elements of planning, conducting and reporting of clinical trials in order to be able to independently judge their clinical relevance and applicability.
Conference
Clinical Cases in Internal Medicine: Learning Through Practice
During this conference 20 selected case reports submitted to the Best Case Report Contest will be presented by the authors and discussed by experts recognized worldwide.
Welcome and introduction
Part I
Aggressive form of inflammatory myopathy complicated with ventilatory insufficiency and acute renal failure
Rihards Buss (Scotland)
Rare neurological manifestation of uncontrolled diabetes
Suyash Anshumali (India)
A rare cause of fever of unknown origin in a renal transplant patient: disseminated nocardia infection
Aslihan Ezgi Apaydin Rollas (Turkey)
Rapidly progressive renal failure due to oxalate tubulointerstitial nephritis associated with chronic pancreatitis
Giuliana Guidarelli (Argentina)
Hyperammonemic encephalopathy after high-dose dexamethasone suppression test for Cushing’s disease
Hyun Ho Seol (South Korea)
Aseptic meningoencephalitis and myelitis temporally associated with SARS-CoV-2 vaccination
Michelle Madden (Ireland)
COVID associated nephropathy (Covan) in a kidney allograft
Happy Nkambule (South Africa)
Unusual case of Gunther’s disease
Salman Khan (Pakistan)
TNF- blockers in IRIS-tuberculosis: case report illustrate the role of infliximab
Soumaya Elbachiri (France)
Refreshment break
Part II
Immunotherapy-induced inflammatory arthritis, a new diagnostic and therapeutic challenge
Giovanna Macello (Argentina)
A rare cause of galactorrhoea in autosomal dominant kidney disease: pituitary stalk compression by intracranial aneurysms
Emilia Blomerus (South Africa)
VEXAS, a newly reported haemato-immune disease presenting with striking ocular and systemic inflammatory features
Brona Dinneen (Ireland)
Lemierre’s syndrome: should neck imaging be performed in all young patients with cavitating pneumonia?
Sarah Galbraith (Scotland)
Mass lesions that almost fill the ascending aorta: when to operate?
Ji Yeon Kim (South Korea)
Eye of the storm: a neurovascular diagnostic dilemma
Uddalak Chakraborty (India)
The massive hemoptysis in a young patient
Dagmara Braslavská (Czech Republic)
Fitz-Hugh-Curtis syndrome identified by gallbladder gonococcal PCR
Eliane A. Lucassen (Netherlands)
A rare case of an unwakeable patient
Roland Oravský (Czech Republic)
Cutaneous polyarteritis nodosa’s clinical presentation as pyoderma gangrenosum-like skin lesion
Nabeel Akbar Chaudhry (Pakistan)
Lunch break
Day 2 (Friday, September 30, 2022)
ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
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Welcome and introduction – Organizing Committee
Opening lecture
Recognizing the long-term consequences of surviving critical illness: how to identify
issues and support patients and caregivers
Prof. Jill Rudkowski
McMaster University, Canada
Session I
How to recognize a trustworthy cardiology practice guideline
Prof. Gordon Guyatt
McMaster University, Canada
Management of acute heart failure according to the latest practice guidelines
Prof. Piotr Ponikowski
Wroclaw Medical University, Poland
Differences in cardiovascular diseases between women and men: important practical implications
Prof. Martha Gulati
American Society for Preventive Cardiology, USA
Questions & answers
All speakers
Refreshment break
BCRC poster session
Session II
Should we forget about using insulin in type 2 diabetes?
Prof. Leszek Czupryniak
Warsaw Medical University, Poland
Challenging cases in thyroid hormone tests and ultrasound imaging
Prof. René Rodríguez-Gutiérrez
Universidad Autonoma de Nuevo Leon, Mexico
Management of glucocorticoid-induced adrenal insufficiency
Prof. Ally Prebtani
McMaster University, Canada
Questions & answers
All speakers
Lunch break
Session III
What is optimal nephroprotection in patients with chronic kidney disease
Prof. Jürgen Floege
RWTH Aachen University, Germany
Infections and the kidneys
Prof. Uta Kunter
RWTH Aachen University, Germany
Managing sepsis according to the latest Surviving Sepsis Campaign practice guidelines
Prof. Simon Oczkowski
McMaster University, Canada
Seizures: how to investigate and treat in emergency department
Prof. Wieslaw Oczkowski
McMaster University, Canada
Questions & answers
All speakers
Refreshment break
Session IV
Special session in the memory of Prof. Andrzej Szczeklik
Introduction
Prof. Marek Sanak
Jagiellonian University Medical College
Current management of asthma
Prof. Paul O’Byrne
McMaster University, Canada
Nonsteroidal anti-inflammatory drug–exacerbated respiratory disease: diagnosis and current management
Prof. Katharine M. Woessner
Scripps Clinic Medical Group, USA
Can we reduce disease progression and reduce mortality in COPD
Prof. Jadwiga Wedzicha
Imperial College London, UK
How to deliver oxygen to a hypoxic patient
Prof. Bram Rochwerg
McMaster University, Canada
Questions & answers
All speakers
Refreshment break
Day 3 (Saturday, October 1, 2022)
ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
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Opening lecture
Spiritual care in medicine: why is it essential
Prof. Tracy Balboni
Harvard Medical School, USA
Session V
Current management of Helicobacter pylori infection
Prof. Paul Moayyedi
McMaster University, Canada
Colon polyps: diagnosis, management and post polypectomy surveillance
Prof. Ian Gralnek
Technion-Israel Institute of Technology, Israel
Non-alcoholic fatty liver disease: practical tips for diagnosis, treatment and prevention
Prof. Shira Zelber-Sagi
University of Haifa, Israel
Questions & answers
All speakers
Refreshment break
Session VI
HIT, VITT and other immune thrombocytopenias: how to diagnose, treat and prevent
Prof. Andreas Greinacher
University of Greifswald, Germany
Thrombophilias: when and how to investigate
Prof. Mark Crowther
McMaster University, Canada
Managing venous thromboembolism: 2022 update
Prof. James Douketis
McMaster University, Canada
BCRC Award Ceremony
Questions & answers
All speakers
Lunch break
Session VII
Patient with systemic lupus erythematosus on an internal medicine ward
Prof. Kim Legault
McMaster University, Canada
Skin involvement in rheumatic diseases: from a sign to diagnosis
Prof. Mohannad Abu-Hilal
McMaster University, Canada
Diagnosis, treatment and prevention of infections in patients with febrile neutropenia
Prof. Nishma Singhal
McMaster University, Canada
Questions & answers
All speakers
Refreshment break
Session VIII
When to suspect the enteric fever: the challenges of diagnostics, treatment and prevention
Prof. Nandini Chatterjee
Institute of Post-Graduate Medical Education and Research, India
Pitfalls of antibiotic therapy in elderly patients with comorbidities – practical guides to increase safety and efficacy
Prof. Serhat Unal
Hacettepe University, Turkey
Current epidemic threats for the world
Prof. Dominik Mertz
McMaster University, Canada
Questions & answers
All speakers
Closing remarks
Organizing Committee
EFIM & ISIM Session (Friday, September 30, 2022)
ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
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XIII Symposium Ethical dilemmas in medical practice: how to reconcile medicine with economy EFIM & ISIM Session
Welcome and introduction
Part I
Health and Wealth – is there a choice?
Dr. Mukesh Chawla
Health, Nutrition & Population, World Bank
Healthcare systems in UE countries: problems, trends, dilemmas and proposed changes
Dr. Andrzej Ryś
Directorate General Health and Food Safety, European Commission
Human labor in healthcare: commodity or value
Prof. Jakub Pawlikowski
Medical University of Lublin, Poland
Organization and financing of healthcare in Poland
Dr. Roman Topór-Mądry
President, Agency for Health Technology Assessment and Tariff Systems, Poland
Maciej Miłkowski
Deputy Minister of Health, Poland
Robert Dziedzic
National Health Fund, Poland
Refreshment break
Part II
Is introducing spiritual care in hospitalized patients cost-effective?
Prof. Tracy Balboni
Harvard Medical School, USA
"Stay with me": Case study of the private non-health care business sector providing effective support for the public health care system
Halina Kutaj-Wąsikowska
Polish Association for Spiritual Care in Medicine
Choosing Wisely: a way of improving quality of care while reducing costs
Prof. Nicola Montano
European Federation of Internal Medicine
No-fault system: does it pay off?
Martin Erichsen
Danish Patient Compensation Association
Experience with cost containment in a private and public sector healthcare systems
Dr. Adri Kok
International Society of Internal Medicine
Lunch break
Part III
Ethical limitations of cost-effectiveness analyses
Prof. Susan Dorr Goold
University of Michigan, USA
Value-based healthcare cures fundamental errors in health care
Prof. Guenther Jonitz
Germany
Healthy Recovery: the route towards performance driven healthcare system strengthening
Prof. Niek Klazinga
OECD; Amsterdam University Medical Centre, The Netherlands
Panel discussion
Closing remarks
Towarzystwo Internistów Polskich
Centrum Monitorowania Jakości w Ochronie Zdrowia
Okręgowa Izba Lekarska w Warszawie
Adam Niedzielski
Minister of Health
“Doskonała Nauka (Excellent Science)” program of the Ministry of Education and Science
“Ethical dilemmas in medical practice: how to reconcile medicine with economy”
Financing: 91,150 PLN
Day 3 (Saturday, October 1, 2022)
ICE Kraków Congress Centre
Room 2
ul. Marii Konopnickiej 17, 30-302 Kraków
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Industry Partner's Session