Program

May 9, 2019

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

Conference

Clinical Cases in Internal Medicine: Learning Through Practice (9:00–14:00)

Hands-on workshops

Some workshops may overlap.
We advise you to check the schedule before registering.

 12:15–14:15 Physicians and students

Speakers and trainers:
Prof. Matthew Sibbald (McMaster University, Canada)
Max. number of participants: 24
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

Rationale: Antiplatelet and anticoagulation regimens are increasingly complex for patients with coronary disease. Trial evidence for the duration of antiplatelet therapy after acute MI or stenting suggests benefit for both prolonged and reduced courses of dual antiplatelet therapy. When combined with anticoagulation for patients who also have atrial fibrillation, multiple regimens are possible. This workshop will provide an approach to applying an evidence-based approach to the management of antiplatelet agents in patients with coronary disease.

Learning objectives:

  1. Apply existing evidence to choose the duration of dual antiplatelet therapy in patients undergoing coronary interventions.
  2. Use an evidence-based approach to antiplatelets and anticoagulation in patients with coronary disease and atrial fibrillation.
  3. Apply a guideline-based approach to switching antiplatelet agents in patients requiring conversion from one agent to another.

 11:00–18:00 Physicians

Speakers and trainers:
Prof. Bhaskar Dasgupta (Southend University Hospital, UK)
Prof. Christian Dejaco (Medical University of Graz, Austria)
Max. number of participants: 25
Fee: 90 €
Eligible participants: Physicians
Duration: 7 hours

Rationale: This course is designed to deliver practical clinical aids for the diagnosis and management of GCA and large vessel vasculitis. It also incorporates an ultrasound workshop for scanning the temporal and axillary arteries with live demonstration and supervised hands-on scanning.

Learning objectives: Attendees will learn how to make a secure early diagnosis of GCA in a fast-track setting. Various manifestations of cranial, large vessel and ischemic disease will be discussed. The fast-track pathway will be detailed along with a GCA probability score to categorise referrals into low, intermediate, and high probability categories. The role of vascular ultrasound in this setting will be discussed. Pitfalls including mimicking pathologies will be mentioned.
Attendees will learn about the recent EULAR recommendations on imaging in GCA and LVV. The ultrasound lesions in the temporal and axillary arteries will be detailed along with training and setting requirements of sonographer, probes and machines.
Attendees will learn about PET-CT scanning for assessment of extent and severity of disease. Various case histories, patterns as well as pitfalls of PET-CT imaging in LVV will be detailed.
Attendees will learn about GCA pathogenesis, current management and the unmet needs. Attendees will be made familiar with recent advances in biologics therapy as well as clinical trials that are ongoing or in setup.
Attendees will learn about use of tocilizumab in GCA, the landmark GiACTA trial, and use of tocilizumab in clinical practice particularly to treat patients with severe, relapsing, refractory disease. Case histories will be discussed. The ultrasound workshop will include advice on equipment settings, live demonstrations and a session for hands-on practice.

 11:15–12:45 Physicians and students

Speakers and trainers:
Prof. Alfonso Iorio (McMaster University, Canada)
Max. number of participants: 15
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

Rationale: Bleeding symptoms or laboratory anomalies in clotting tests are routinely encountered in pre-operative assessments, and reported by in- or outpatients. No matter if you are filtering them at the primary care or general internal medicine level, or receiving a consultation request as a general hematologists, you will need to develop a standardized approach, and associated diagnostic pathways.

Learning objectives:

  1. Appraise the most commonly encountered or most challenging scenario scenarios (from thrombocytopenia to acquired von Willebrand disease).
  2. Appraise the rational use of commonly available and specialized clotting test.
  3. Appraise the complexity introduced by new anticoagulants and new treatments for congenital bleeding disorders.

 16:00–18:00 Physicians and students

Speakers and trainers:
Assoc. Prof. Valentin Kokorin (Pirogov Russian National Research Medical University, Russian Federation)
Max. number of participants: 50
Fee: 30 €
Eligible participants: Physicians and students
Duration: 2 hours

Rationale: In the era of innovative and technological medicine ECG remains the first-choice investigation in patients with cardiac symptoms. Interpretation of ECG is one of the basic skills of doctors caring for such patients. A structured, careful and quick algorithm for ECG analysis will help to make the correct diagnosis, administer treatment and improve patient outcomes.

Learning objectives: This workshop is designed to acquire the knowledge, skills and confidence of step-by-step rapid ECG interpretation. A case-based approach with numerous ECGs from actual clinical practice will stimulate an interactive discussion on differential diagnosis of heart rhythm and conduction disturbances, ST-segment elevation, acute right ventricle overload, left ventricle hypertrophy and electrolyte disturbances.

 12:00–13:30 Students
 14:00–15:30 Physicians and students

Speakers and trainers:
Prof. Julian Dobranowski (McMaster University, Canada)
Max. number of participants: 30
Fee: 30 €
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.

12:00–13:30 Students
 14:00–15:30 Physicians and students
 16:00–17:30 Physicians and students

Speakers and trainers:
Dr. Marzena Frolow (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). 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:

  1. Basic ultrasound unit settings for CUS.
  2. Applied sonoanatomy of deep veins of lower extremities.
  3. Technique of 3-point CUS.

No basic skills in ultrasound examination are required from participants.

 13:00–15:15 Physicians
 15:45–18:00 Physicians

Speakers and trainers: Prof. Zahira Khalid (McMaster University, Canada)
Max. number of participants: 25
Fee: 30 €
Eligible participants: Physicians
Duration: 2 hours 15 minutes

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 in using 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 lines, B lines, 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:

  1. Understand the basics of ultrasound technology and indications for PoCUS use.
  2. Appreciate how PoCUS can assist in answering focused clinical questions and augment bedside clinical care with a focus on volume status examination.
  3. Practice PoCUS to augment the physical examination for volume status assessment.

Previous knowledge or experience with ultrasound is not required.

 9:30–12:00 Students
 12:30–15:00 Physicians and students
 15:30–18:00 Physicians and students

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

Rationale: Cardiac arrest is 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:

  1. Understand the concept of CAS training, including the concept of role-playing and the importance of nontechnical skills in resuscitation attempts.
  2. Understand the importance of teamwork and leadership in the management of cardiac arrest.
  3. Understand the treatment algorithms of shockable and nonshockable rhythms.
  4. Apply the current guidelines and skills taught in the workshop to practical management of the patient with cardiac arrest.
  5. Apply the skills, attitude, and knowledge required to function as a member of a resuscitation team.
  6. Apply the skills, attitude, and knowledge required to lead a resuscitation team.
  7. Understand the use of nontechnical skills in cardiac arrest teams.

 13:30–15:30 Physicians and students
 16:00–18:00 Physicians and students
Max. number of participants: 12
Fee:
30 €
Eligible participants: Physicians and students
Duration: 2 hours

Securing the airway is frequently the most time-sensitive and anxiety-provoking challenge faced by clinicians. Although short, this is a highly intensive and hands-on workshop. It provides the opportunity to practice intubation using different laryngoscopy techniques.

Learning objectives: By the end of this workshop, the participants will know:

  1. How to properly ventilate the patient using self-inflating bag-valve-mask ventilation technique.
  2. How to prepare the equipment for intubation.
  3. Indications and contraindications for intubation.
  4. Possible complications of intubation.
  5. How to safely intubate the patient using different laryngoscopy techniques.

To get the most out of this workshop, it is crucial that you attend the session prepared. Help us by familiarizing yourself with the following resources:

Introduction to Larynx, Pharynx, and Airway Anatomy
EEACC #4 – Direct Laryngoscopy
Direct vs. Video Laryngoscopy in 10 Minutes

 11:00–13:00 Physicians and students
 13:30–15:30 Physicians and students
 16:00–18:00 Physicians and students
Max. number of participants: 12
Fee: 30 €
Eligible participants: Physicians and students
Duration: 2 hours

Securing the airway and proper ventilation is frequently the most time-sensitive and anxiety-provoking challenge faced by clinicians. Supraglottic airway devices (laryngeal mask, laryngeal tube, I-Gel®) are reasonable alternatives for those healthcare providers who do not perform tracheal intubation frequently enough to be skillful in that procedure.
Although short, this is a highly intensive and hands-on workshop. It provides the opportunity to practice airway management and learn how to use supraglottic airway devices.

Learning objectives: By the end of this workshop, the participants will know:

  1. How to properly ventilate the patient using self-inflating bag-valve-mask ventilation technique.
  2. How to prepare the equipment for securing the airway with the laryngeal mask, laryngeal tube, I-Gel®.
  3. Indications and contraindications for supraglottic airways.
  4. Possible complications of supraglottic airways.
  5. How to safely secure the airways using the laryngeal mask, laryngeal tube, I-Gel®.

To get the most out of this workshop, it is crucial that you attend the session prepared. Help us by familiarizing yourself with the following resources:

Supraglottic airway overview
Using supraglottic airways
Intubating through SGAs

 9:30–12:00 Physicians and students
 12:30–15:00 Physicians and students
 15:30–18:00 Physicians and students
Max. number of participants: 16
Fee: 30 €
Eligible participants: Physicians and students
Duration: 2 hours 30 minutes

Treatment of patients with life-threatening tachyarrhythmias poses a major challenge for the staff of intensive care units and hospital emergency departments. The workshop, run in high-fidelity simulation rooms that reconstruct conditions in the hospital ward, is designed to prepare doctors and students to perform electrocardiographic cardioversion procedures safely in both life-threatening and planned situations.

Learning objectives: By the end of this workshop, the participants will know:

  1. Indications for electrical cardioversion.
  2. Contraindications and possible complications of electrical cardioversion.
  3. How to perform procedural analgosedation before cardioversion.
  4. How to perform safe electrical cardioversion.
  5. Principles of patient monitoring after cardioversion.

 10:00–12:00 Physicians and students
 13:30–15:30 Physicians and students
Max. number of participants: 12
Fee: 30 €
Eligible participants: Physicians and students
Duration: 2 hours

In some cases, administration of drugs to the patient is not possible. This may be due to the lack or occlusion of intravenous access and difficulties in establishing new intravenous access. In such situations, intraosseous access may be the only way to save your patient. It can be used to start both life-saving drugs and fluid therapy.
The workshop aims to familiarize participants with the possibilities offered by modern intraosseous access systems and simple intraosseous needles.

Learning objectives: By the end of this workshop, the participants will know:

  1. Indications and contraindications for intraosseous access.
  2. Possible complications of intraosseous access and their frequency.
  3. The equipment used to obtain intraosseous access (intraosseous needle, BIG®, Ez-IO®).
  4. The site for intraosseous access.
  5. How to establish intraosseous access using various types of equipment (intraosseous needle, BIG®, Ez-IO®).

The Ez-IO® Intraosseous Vascular Access Training
Ez-IO® Placement
Bone Injection Gun - Intraosseous Access in Less Than 60 Seconds
Bone Injection Gun (B.I.G) use on a live volunteer

 15:00–16:30 Physicians and students

Speakers and trainers:
Prof. Roman Jaeschke (McMaster University, Canada)
Max. number of participants: 12
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

Rationale: Ability to critically appraise a randomized trial, which is central to the practice of EBM.

Content: This workshop will use an example of recent RCT of general interest to illustrate the key elements of assessing risk of bias of randomized trials, understanding the results and applying the results to clinical practice.

Objectives:

  1. To learn how to assess risk of bias in randomized trials, including issues of concealment of randomization, blinding and loss to follow-up.
  2. To gain insight into how results of randomized trials are presented, including issues of relative effects, absolute effects and confidence intervals.
  3. 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.

 16:30–18:00 Physicians and students

Speakers and trainers:
Prof. Roman Jaeschke (McMaster University, Canada)
Max. number of participants: 12
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

Rationale: Ability to critically appraise a systematic review, which is central to the practice of EBM.

Content: This workshop will use an example of recent meta-analysis of general interest to illustrate the key elements of assessing the quality of a systematic review and the trustworthiness of the results it reports.

Objectives:

  1. To learn how to assess key elements of the quality of a systematic review, including question definition, search for evidence and summarization of evidence.
  2. 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.

 13:15–14:45 Physicans and studens

Speakers and trainers:
Prof. Alfonso Iorio (McMaster University, Canada)
Max. number of participants: 15
Fee: 30 €
Eligible participants: Physicians and students
Duration: 1 hour 30 minutes

Rationale: Randomized Controlled Trials (RCTs) are about treatments effects, and tell us the truth about what works and what does not. But when it comes to identify who will benefit the most from any given treatment with an NNT higher than 1, one needs to understand and apply prognostic research.

Learning objectives:

  1. Understand what prognosis research is, including overall prognosis, prognostic risk factors, prognostic models
  2. Learn how to appraise prognostic literature and identify evidence you can trust
  3. Understand how proper use of prognostic research enhance interpretation and application of clinical trial results to your own clinical practice

 10:00–12:00 Physicians and students

Speakers and trainers:
Prof. Brian Garibaldi (Johns Hopkins School of Medicine, USA)
Max. number of participants: 25
Fee: 30 €
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. Many clinicians lack the confidence to model and teach bedside skills in front of their colleagues and trainees. The Society of Bedside Medicine has created a toolbox to help clinicians improve their bedside skills, and to teach those skills to trainees. In this interactive session, we will practice three tools that can be easily incorporated at your home institution to improve bedside medicine skills. We will demonstrate and provide a teaching guide for a practical approach to the respiratory exam. We will model how to teach the cardiac exam using a hypothesis-driven approach by working through real cases using audience participation software. Finally, we will demonstrate the power of the 5-minute Bedside Moment (5M2) as a way to teach the physical exam. Participants will have the opportunity to create their own 5M2 that can be used as a teaching tool at their home institution.

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

  1. Perform and teach a practical approach to the bedside respiratory examination.
  2. Incorporate a hypothesis driven approach to the teaching and performance of the bedside physical examination.
  3. Create their own 5-minute Bedside Moment (5M2) to teach bedside skills to learners.

May 10, 2019

ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
See on map

8:30–9:00

Welcome and introduction

Organizing Committee

9:00–9:25

Opening lecture
New definition of myocardial infarction and its practical implications

Prof. P.J. Devereaux

McMaster University, Canada

Session I

9:25–9:50

Current management of syncope: key practical messages from the latest guidelines

Prof. Giorgio Costantino

University of Milan, Italy

9:50–10:15

Management of chronic limb ischemia: new evidence establishing new practices

Prof. Sonia Anand

McMaster University, Canada

10:15–10:40

Lipid lowering drug therapy: which drug to choose

Prof. Lale Tokgözoglu

Hacettepe University, Turkey

10:40–11:05

Diagnosis and Medical Management of Chronic Venous Insufficiency

Prof. Patrick C. Alguire

American College of Physicians

11:05–11:50

Questions & answers

All speakers

11:50–12:10

Refreshment break

Session II

12:10–12:35

Hyperkalemia: what should I do?

Prof. Jürgen Floege

RWTH Aachen University, Germany

12:35–13:00

What internal medicine specialists need to know about renal transplantation

Prof. Christine Ribic

McMaster University, Canada

13:00–13:25

To be announced

13:25–13:50

Questions & answers

All speakers

13:50–14:30

Lunch break

Session III

14:30–14:55

Current management of obesity

Prof. Dror Dicker

Tel Aviv University, Israel

14:55–15:20

Managing patients with type 2 diabetes according to the latest guidelines

Prof. Chantal Mathieu

Catholic University of Leuven, Belgium

15:20–15:45

Thyroid emergencies

Prof. Leonard Wartofsky

Georgetown University, USA

15:45–16:10

Questions & answers

All speakers

16:10–16:30

Refreshment break

Session IV

16:30–16:55

Biologics use in systemic autoimmune conditions: an update

Prof. Bhaskar Dasgupta

Southend University Hospital, UK

16:55–17:20

Challenges in the diagnosis of chronic immune-mediated rheumatic diseases

Prof. Christian Dejaco

Medical University of Graz, Austria

17:20–17:45

Interpreting raised serum ferritin level: is it systemic inflammation, malignancy or something else? 

Prof. Parveen Wasi

McMaster University, Canada

17:45–18:10

Questions & answers

All speakers

May 11, 2019

ICE Kraków Congress Centre
ul. Marii Konopnickiej 17, 30-302 Kraków
See on map

8:45–9:00

Introduction

Organizing Committee

9:00–9:25

Opening lecture
Reinvigorating the bedside clinical examination

Prof. Brian Garibaldi

Johns Hopkins School of Medicine, USA

Session V

9:25–9:50

Microbiome and fecal microbiota transplantation

Prof. Paul Moayyedi

McMaster University, Canada

9:50–10:15

Approach to a patient with chronic diarrhea

Prof. Robin Spiller

University of Nottingham, UK

10:15–10:40

Digestive tract cancer screening: whom and how to screen

Prof. John Marshall

McMaster University, Canada

10:40–11:05

Abnormal liver blood tests – how to interpret

Prof. Philip N. Newsome

University of Birmingham, UK

11:05–11:50

Questions & answers

All speakers

11:50–12:10

Refreshment break

Session VI

12:10–12:35

Drug selection for different phenotypes of asthma

Prof. Paul O’Byrne

McMaster University, Canada

12:35–13:00

How to prevent COPD exacerbations

Prof. Jadwiga Wedzicha

Imperial College London, UK

13:00–13:25

What’s new in the management of arterial hypertension: practical summary of the latest guidelines

Prof. Giuseppe Mancia

University of Milano-Bicocca, Italy

13:25–13:40

Questions & answers

All speakers

13:40–14:20

Lunch break

Session VII

14:20–14:45

Emerging infectious threats for travelers

Prof. David Brett-Major

Uniformed Services University, USA

14:45–15:10

Diagnosis and management of urinary tract infections in an era of easy access to screening and drug resistance

Prof. Mark Loeb

McMaster University, Canada

15:10–15:25

Best Case Report Contest awards

Prof. Mark Crowther & Jury

15:25–15:50

Questions & answers

All speakers

15:50–16:10

Refreshment break

Session VIII

16:10–16:30

Myeloproliferative neoplasms: tasks for internists

Prof. Chris Hillis

McMaster University, Canada

16:30–16:50

Venous thromboembolism: current prevention guidelines

Prof. Susan Kahn

McGill University, Canada

16:50–17:10

Venous thromboembolism: current diagnostic guidelines

Prof. Wendy Lim

McMaster University, Canada

17:10–17:30

Venous thromboembolism: current treatment guidelines

Prof. Shannon Bates

McMaster University, Canada

17:30–18:00

Questions & answers

All speakers

18:00–18:10

Closing remarks

Organizing Committee

Program
McMaster Textbook

McMaster Textbook of Internal Medicine is the first Canadian textbook developed at McMaster University, the birthplace of problem-based learning (PBL) and evidence-based medicine (EBM) and one of the leading medical schools in the world. Practical, affordable and convenient, it provides verified medical knowledge useful in everyday practice.

We use cookies to ensure you get the best browsing experience on our website. Refer to our Cookies Information and Privacy Policy for more details.