Program

Day 1 (Thursday, May 9, 2024)

Conference Centre Faculty of Medicine
Jagiellonian University Medical College
ul. św. Łazarza 16, 31-530 Kraków
See on map

Some workshops may overlap.

You can take part in workshops even if you are not a MIRCIM participant.

 11:30–14:00

Speakers and trainers:
Dr. Grzegorz Cebula (Jagiellonian University Medical College, Poland)
Max. number of participants: 16
Fee: €40
Eligible participants: Physicians and students
Duration: 2 hours 30 minutes

Rationale: Cardiac 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.

 15:45–16:45

Speakers and trainers:
Prof. James Douketis (McMaster University, Canada)
Max. number of participants: 20
Fee: €40
Eligible participants: Physicians and students
Duration: 1 hour

Rationale: In the last decade, four direct oral anticoagulants have emerged as treatment options for stroke prevention in patients with atrial fibrillation and for the prevention and treatment of venous thromboembolism. Alongside heparins and vitamin K antagonists there is now a wide array of treatment options for the clinician. Choosing which anticoagulant to recommend can be challenging but important because each anticoagulant comes with therapeutic benefits and risks. There also is a need to match anticoagulant according to increasingly prevalent patient comorbidities that include coronary artery disease, renal insufficiency and bleeding predisposition, and for patients with cancer.

Learning objectives: At the end of this practical, case-based workshop, the participant will be able to:

  • Know how to identify the right anticoagulant for an individual patient, with or without specific comorbidities;
  • Gain a basic understanding of the key benefits and risks of different anticoagulants;
  • Deal with common “what if” clinical scenarios that occur during anticoagulant therapy

 17:00–18:00

Speakers and trainers:
Prof. James Douketis (McMaster University, Canada)
Max. number of participants: 20
Fee: €40
Eligible participants: Physicians and students
Duration: 1 hour

Rationale: With an ageing population and associated increased use of anticoagulants for stroke prevention in atrial fibrillation and for management of venous thromboembolism, the management of anticoagulant-associated bleeding has become a common clinical scenario. Although many clinicians are aware of how to manage acute bleeding, less is known about measures to prevent bleeding and what to do after the bleed. In the later instance, often challenging decisions are needed as to whether anticoagulants should be resumed, which anticoagulant to resume and, most importantly, when is the right timing of resumption.

Learning objectives: At the end of this practical, case-based workshop, the participant will be able to:

  • Identify preventive measures to minimize bleeding risk in patients who are started on
  • Have an updated understanding of managing acute anticoagulant-related bleeding;
  • Gain an approach to managing patients “after the bleed”, including when and if to resume anticoagulants.

 14:30–15:30

Speakers and trainers:
Prof. Leszek Czupryniak (Medical University of Warsaw, Poland)
Max. number of participants: 20
Fee: €40
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

 15:45–16:45

Speakers and trainers:
Prof. Simon Oczkowski (McMaster University, Canada)
Max. number of participants: 20
Fee: €40
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.

 10:00–18:00

Speakers and trainers:
Prof. Bhaskar Dasgupta (Southend University Hospital, UK), Dr. Anna Ciechomska (University of Glasgow, UK)
Max. number of participants: 25
Fee: €200
Eligible participants: Physicians. This workshop will appeal to rheumatology consultants, senior specialty trainees, allied health professionals and general practitioners managing busy rheumatology services who wish to apply management decisions swiftly and effectively for patients.
Duration: 8 hours

Rationale: Probability-based algorithms in rheumatology add significantly to the efficiency of condition evaluation, categorization and management in patients presenting to early arthritis and fast track clinics.

Learning objectives: This hands-on event complements the pioneering APLAR online POCRUS course on a  scenario-based approach to rheumatology. It will consist of 8 hours of activities: lectures, live demonstrations, hands-on practice, with discussion of illustrative cases.

The workshop provides:

  • Overview of the probabilistic approach and its specific application to different presenting scenarios such as polyarthritis, oligoarthritis, monoarthritis, polymyalgia, suspected GCA and large vessel vasculitis
  • Case discussions and hands-on practice on patients with different rheumatology scenarios
  • Appropriate ultrasound scanning techniques and protocols will be demonstrated and practiced

Educational objectives:

  • Understand common presentation scenarios in rheumatology
  • Apply a probability-based approach to evaluate individual presentations
  • Understand the role of point of consultation ultrasound in the probability-based algorithm
  • Recognize specific and sensitive ultrasound signs/patterns
  • Confirm/exclude different scenarios by applying ultrasound findings
  • Understand the individual settings and procedures for ultrasound scanning

Live demonstrations and supervised hands-on workshops:

  • Principles for applying ultrasound in rheumatology scenarios
  • Standardized sonographic scanning in clinical scenarios for: rheumatoid arthritis, spondyloarthritis, gout/crystal arthritis, PMR/GCA
  • The use of color Doppler ultrasonography and ultrasound system settings.
  • Identification of vascular sonoanatomy

 16:30–18:00

Speakers and trainers:
Prof. Julian Dobranowski (McMaster University, Canada)
Max. number of participants: 25
Fee: €40
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

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.

 14:00–15:30

Speakers and trainers:
Dr. Marzena Frolow (Jagiellonian University Medical College, Poland)
Max. number of participants: 15
Fee: €40
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.

 11:30–13:30

Speakers and trainers:
Dr. Iwona Bielska (Jagiellonian University, Poland)
Max. number of participants: 20
Fee: €20
Eligible participants: Physicians and students
Duration: 2 hours

Rationale: Conducting research projects is an integral part of the work of physician-researchers and is an important aspect of medical training. A powerful and well-written research proposal is necessary to clearly organize the project, communicate its merit and impact, and to secure grant funding. Although the award process is highly competitive, there are methods to strengthen the proposal and increase the chances of funding.

Learning objectives: To strengthen their proposal and grant application writing skills, the workshop participants will learn how to:

  • Prepare a strong rationale to support the research study
  • Clearly communicate the gaps in the available literature
  • Formulate concise research objectives
  • Overview the study methodology in a succinct manner
  • Highlight the impacts of the proposal research

 11:30–13:30

Speakers and trainers:
Prof. Maja Artandi (Stanford University, USA)
Prof. Stephen Russell (University of Alabama at Birmingham, USA)
Prof. Janet Record (Johns Hopkins University, USA)
Max. number of participants: 20
Fee: €40
Eligible participants: Physicians and students
Duration: 2 hours

Rationale: Physicians spend little time at the bedside in the modern hospital. Lack of time at the bedside has led to a decline in fundamental skills such as the physical examination, and threatens the physician-patient relationship, in addition to contributing to physician burnout. Many clinicians lack the confidence to model and teach bedside skills in front of their colleagues and trainees. Trainees are often not observed when doing a physical exam in the clinical setting and thus do not get the opportunity for valuable feedback on their physical exam skills.
In this workshop we will demonstrate two techniques that help supervising physicians teach, observe and give feedback on physical exam skills.
The 5 Minute Moment is a unique model for teaching effectively at the bedside understanding the time constraints that many students and trainees experience. We will demonstrate the power of the 5-minute Bedside Moment (5M2) as a way to teach the physical exam and model essential communication techniques. Participants will have the opportunity to create their own 5M2 that can be used as a teaching tool at their home institution.
The 10 Minute Moment is a new model to help supervising physicians assess physical exam skills and give feedback. Participants will have the opportunity to watch the physical exam of a common medical problem and practice giving feedback.

Learning objectives:
At the end of this workshop, participants will be able to:

  • Describe the components of the 5-minute Bedside Moment (5M2)
  • Create their own 5-minute Bedside Moment (5M2) to teach bedside skills to learners.
  • Use the 10 Minute Moment to give feedback on physical exam skills for a common medical problem.

 10:00–12:00

Speakers and trainers:
Prof. Stanislav Tatkov (Fisher & Paykel Healthcare)
Prof. Bram Rochwerg (McMaster University, Canada)
Prof. Simon Oczkowski (McMaster University, Canada)
Max. number of participants: 25
Fee: €40
Eligible participants: Physicians and students
Duration: 2 hours

Rationale: Conventional oxygen? Nasal high flow? Bi-PAP? CPAP? Invasive ventilation? We have many choices for treating respiratory failure in the hospital. Join us at this workshop to review the evidence and put different therapies into practice through a series of patient scenarios. 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 strategies for managing hypoxia and hypercapnia (Type I and II RF).
  • Learn how to set up a standalone nasal high flow device ready for a patient or a healthy volunteer!
  • Get hands on with NIV masks and discuss strategies for managing NIV.
  • Put the evidence into practice, through a series of patient scenarios.

 15:00–16:00

Speakers and trainers:
Dr. John Kellet (Editor in Chief of the European Journal of Case Reports in Internal Medicine)
Max. number of participants: 20
Fee: €20
Eligible participants: Physicians and students
Duration: 1 hour

Join us for an engaging and informative workshop designed specifically for internists and medical students keen to enhance their skills in preparing clinical cases for publication. This workshop will help authors in transforming routine clinical data into compelling narratives for the scientific community. Led by experienced editors, participants will gain valuable insights into identifying key learning points within their cases and presenting them in a manner that contributes to the broadening of medical knowledge.

Rationale: In the evolving landscape of medical research and practice, the ability to communicate clinical insights effectively is paramount. This workshop addresses the crucial need for internists and students to bridge the gap between their daily experiences in patient care and the broader scientific community. By dissecting clinical cases, participants will gain a deeper understanding of the nuances that make a case publishable. The workshop aims to empower attendees with the skills to identify key learning points, effectively communicate their findings, and contribute meaningfully to medical literature.

Learning objectives:
Participants will be able to:

  • Evaluate clinical cases: Assess the relevance and potential impact of clinical cases for broader dissemination.
  • Identify learning points: Recognize and articulate the key learning points within a clinical case, ensuring they contribute meaningfully to medical knowledge.
  • Craft compelling narratives: Develop effective storytelling skills to present clinical cases in a manner that engages and educates a diverse audience.
  • Navigate publication processes: Understand the submission and peer review processes, increasing the likelihood of successful publication in reputable medical journals.

 10:00–13:00 (6 x 30-minute blocks)

Speakers and trainers:
Prof. Ian Buchanan (McMaster University, Canada)
Max. number of participants: 24
Fee: €40
Eligible participants: Physicians and students. No previous POCUS training required.
Duration: 6 x 30-minute blocks

Rationale: The use of ultrasound at the bedside has become standard-of-care for many percutaneous needle-based techniques. Although these procedures differ based on anatomy, pathology, and objective (i.e. paracentesis vs. vascular access), the technique of needle-localization and tracking in real-time is common to all. Dedicated instruction and precepted practice will ensure that these procedures are being performed safely and effectively.

Learning objectives:

  • Introduction to ultrasound physics and artifacts specific to percutaneous needle-based techniques.
  • Optimization of US unit settings for needle and target visualization.
  • Introduction to long- and short-access views of needle/target.
  • Practice of techniques on a variety of US phantoms simulating intravenous access and drainage of target.

 9:00–11:00

Speakers and trainers:
Prof. Leslie Martin (McMaster University, Canada)
Max. number of participants: 20
Fee: €40
Eligible participants: Physicians and students
Duration: 2 hours

This workshop will review key knowledge, skills and attitudes for the internist caring for patients on prescribed or non-prescribed opioids. We will review safe approaches to initial prescribing, approaches to engaging patients in tapering or opioid rotation, and diagnosis and management of opioid use disorder. There will be opportunities to practice and discuss various approaches to treatment, as well as ask questions. The workshop is designed to meet the learning objectives of a spectrum of learners and physicians from early through to late career.

Learning objectives:

  • Analyze the opioid crisis from an international lens.
  • Apply best practices as an internist in the prescribing, tapering or rotation of opioids when managing acute and chronic pain.
  • Demonstrate critical knowledge, skills and attitudes in the diagnosis and management of people with opioid use disorder.

Day 1 (Thursday, May 9, 2024)

Conference Centre Faculty of Medicine
Jagiellonian University Medical College
ul. św. Łazarza 16, 31-530 Kraków
See on map

LIVE STREAM CME RECORDINGS

8:00

Registration on-site

Clinical Cases in Internal Medicine: Learning Through Practice

During this session 20 selected case reports submitted to the Best Case Report Contest will be presented by the authors and discussed by world-renowned experts.

9:00

Welcome and introduction

9:10

Part I

10:50

Refreshment break

11:10

Part II

Medical Education Forum

Teaching medicine at the bedside
Session under the auspices of the Society of Bedside Medicine
Chair: Prof. Ryszard Gellert (Centre of Postgraduate Medical Education, Poland)

14:30

Challenges and opportunities in giving feedback at the bedside

Prof. Maja Artandi

Co-President of the Society of Bedside Medicine, Stanford University, USA

14:50

The 10-Minute Moment: A tool to assess physical examination skills at the bedside

Prof. Stephen Russell

Co-President of the Society of Bedside Medicine, University of Alabama at Birmingham, USA

15:10

Challenges and opportunities in teaching and assessing physical examination skills in undergraduate medical education

Prof. Janet Record

Johns Hopkins University School of Medicine, USA

15:30

POCUS: When does it perform better than the physical exam?

Prof. Ian Buchanan

McMaster University, Canada

15:50

Questions and Answers

All Speakers

16:10

Refreshment break

The evolution of competency-based medical education (CBME) from theory to practice and lessons learned
Chair: Prof. Reinold Gans (President of the European Board of Internal Medicine)

16:30

CBME: The theory and rationale

Prof. Azim Gangji

McMaster University, Canada

16:50

Implementation of CBME in the European context

Prof. Reinold Gans

President of the European Board of Internal Medicine, University Medical Center Groningen, The Netherlands

17:10

Practicalities and challenges in implementing a CBME program: The Canadian context

Prof. Leslie Martin

McMaster University, Canada

17:30

Panel discussion: Incorporating CBME - lessons learned

Prof. Azim Gangji, Prof. Leslie Martin, Prof. Reinold Gans

18:00

Closing remarks

Organizing Committee

Day 2 (Friday, May 10, 2024)

ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
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LIVE STREAM CME RECORDINGS

8:00

Registration on-site

Opening

8:30

Welcome and introduction

9:00

Opening lecture: Artificial intelligence in medicine: Where we are now and what future may bring

Prof. Dan Perri

McMaster University, Canada

Session I: Current management of arterial hypertension
Session under the auspices of the European Society of Hypertension (ESH)
Chair: Prof. Andrzej Januszewicz (Vice President of ESH, Poland)

9:20

Thresholds for initiation of antihypertensive treatment and targets for the treatment

Prof. Giuseppe Mancia

University of Milano-Bicocca, Italy

9:40

General recommendations for drug treatment in hypertension

Prof. Reinhold Kreutz

Charité – Medical University Berlin, Germany

10:00

Perioperative management of hypertension and hypertensive emergencies

Prof. Lorenza Maria Muiesan

University of Brescia, Italy

10:20

Management of hypertension in patients with cardiac diseases

Prof. Konstantinos Tsioufis

National and Kapodistrian University of Athens, Greece

10:40

Questions & Answers

All speakers

11:10

Refreshment break

Session II: Cardiology and Hematology

11:40

Acute coronary syndromes management: 2024 update

Prof. Vijay Kunadian

Newcastle University, UK

12:00

Antithrombotic treatment: 2024 update

Prof. James Douketis

McMaster University, Canada

12:20

Hypereosinophilia: A practical approach for internists

Prof. Florence Roufosse

Université Libre de Bruxelles, Belgium

12:40

To be announced

13:00

Questions & Answers

All speakers

13:30

Lunch break

Session III: Rheumatology and Nephrology
Session under the auspices of the International Society of Internal Medicine (ISIM)
Chair: Prof. Virginia Hood (President Elect of ISIM, USA)

14:20

Sharpening rheumatological diagnoses with point-of-care rheumatology ultrasonography (POCRUS)

Prof. Bhaskar Dasgupta

Southend University Hospital, UK

14:40

Treating osteoarthritis: What works and what doesn’t work

Prof. Sharon L. Kolasinski

University of Pennsylvania – Perelman School of Medicine, USA

15:00

Inflammatory rheumatic disease: When to search for malignancy

Prof. Kim Legault

McMaster University, Canada

15:20

Nephrology update 2024

Prof. Jürgen Floege

RWTH Aachen University, Germany

15:40

Questions & Answers

All speakers

16:10

Refreshment break

Session IV: The Multimorbid Patient
Session under the auspices of the European Federation of Internal Medicine (EFIM)
Chair: Prof. Máximo Bernabeu-Wittel (Chair of the EFIM Multimorbidity Working Group, Spain)

16:30

Prescription appropriateness: A case-based practical tool

Prof. Jan Václavík

University Hospital Ostrava, Czech Republic

16:50

Frequent clinical scenarios for deprescribing in elderly patients with multimorbidity

Prof. Annette Kürrle

Hochtaunus Kliniken Homburg, Germany

17:10

Falls in elderly: What evaluation is needed

Prof. Jyotirmoy Pal

R.G. Kar Medical College, India

17:30

Managing osteoporosis in patients with comorbidities

Prof. Alexandra Papaioannou

McMaster University, Canada

17:50

Questions & Answers

All speakers

Day 3 (Saturday, May 11, 2024)

ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
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LIVE STREAM CME RECORDINGS

Opening

9:00

Opening lecture: Medical cannabis 2024 update: Benefits and dangers

Prof. Kevin Hill

Harvard Medical School, USA

Session V: Gastroenterology
Chair: Prof. Akbar Panju (McMaster University, Canada)

9:20

Managing gastroesophageal reflux disease: The state of the art

Prof. Paul Moayyedi

McMaster University, Canada

9:40

Functional abdominal pain: How to diagnose and treat

Prof. Jan Tack

University of Leuven, Belgium

10:00

Prevention and management of bleeding and thrombosis in patients with liver disease

Prof. Virginia Hernández-Gea

University of Barcelona, Spain

10:20

Current management of chronic pancreatitis

Prof. Marianna Arvanitakis

Université Libre de Bruxelles, Belgium

10:40

Questions & Answers

All speakers

11:10

Refreshment break

Session VI: Diabetology and Endocrinology
Chair: Dr. Adri Kok (Past President of ISIM, South Africa)

11:30

Young-onset type 2 diabetes in adults: How to diagnose and treat

Prof. Leszek Czupryniak

Medical University of Warsaw, Poland

11:50

Assessment and treatment of diabetic emergencies

Prof. René Rodríguez-Gutiérrez

Autonomous University of New Leon, Mexico

12:10

Hyponatremia: An approach to diagnosis and management

Prof. Ally Prebtani

McMaster University, Canada

12:30

Questions & Answers

All speakers

13:00

Lunch break

Session VII: Pulmonology and Intensive Care
Chair: Prof. Roman Jaeschke (McMaster University, Canada)

13:40

Acute dyspnea: Emergency management

Prof. Simon Oczkowski

McMaster University, Canada

14:00

Asthma exacerbations management

Prof. Paul O’Byrne

McMaster University, Canada

14:20

Anaphylaxis and other life-threatening allergic emergencies: Current management

Prof. Derek Chu

McMaster University, Canada

14:40

Questions & Answers

All speakers

Young Talents in Internal Medicine

15:10

Best Case Report Contest: Award Ceremony

Session VIII: Infectious Diseases
Chair: Prof. Nishma Singhal (McMaster University, Canada)

15:40

Endocarditis: Current management according to the latest practice guidelines

Prof. Margarita Brida

University Hospital Centre Zagreb, Croatia

16:00

Sepsis management: Practical tips for nonintensivists

Prof. Bram Rochwerg

McMaster University, Canada

16:20

Current challenges in infectious diseases: What a non-specialist should know

Prof. Zain Chagla

McMaster University, Canada

16:40

Unravelling travel vaccination

Prof. Somia Iqtadar

King Edward Medical University, Pakistan

17:00

Questions & Answers

All speakers

17:30

Closing remarks

Oranizing Committee


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