Program

May 10, 2018

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

Clinical cases in internal medicine: learning through practice

During this conference 15 selected case reports submitted to the Best Case Report Contest will be presented by the authors and discussed by experts recognized worldwide.

Hands-on workshops

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

 13:30–15:30 Students
 16:00–18:00 Physicians

Speakers and trainers: Prof. Sebastian Stec (University of Rzeszów, Poland)
Max. number of participants: 50
Fee: 30 €

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. A case-based approach will be adopted in the discussion of 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.

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

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

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 Frołow (Jagiellonian University, Poland)
Max. number of participants: 16
Fee: 30 €

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.

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

Speakers and trainers: Prof. Khalid Azzam (McMaster University, Canada)
Max. number of participants: 25
Fee: 30 €

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 = 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.

 11:00–17:00 Physicans

Speakers and trainers: Prof. Bhaskar Dasgupta (Southend University Hospital, UK)
Max. number of participants: 25
Fee: 60 €

Target audience: Rheumatologists, internists, trainees, sonographers, allied health professionals.

Learning objectives: Attendees will be familiarized with:

  1. Applied sonoanatomy of the small joints, ie, hand, wrist, ankle, and foot. This will allow greater precision in anatomical localization of a musculoskeletal diagnosis, including more accurate placement of joint injections.
  2. Basic skills required for ultrasound examination of the small joints of the hand, foot, wrist, and ankle. This will include a demonstration of the sonographic examination method followed by plenty of opportunities for hands-on practical examination.
  3. Common inflammatory and noninflammatory pathologies that affect small joints of the hands and feet. This will include identification of synovitis, erosions, tenosynovitis, and sonographic abnormalities of joints, tendons, and nerves. Conditions covered will include rheumatoid arthritis, psoriatic arthritis, and spondyloarthritis, as well as local conditions such as carpal tunnel syndrome, plantar fasciitis, and Achilles tendonitis.

By the end of the course, attendees will have sufficient hands-on experience in scanning joints of the hands, wrists, ankles, and feet to take the first steps toward starting a musculoskeletal ultrasound service in their place of work.

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

Speakers and trainers:
Jerzy Jaskuła (Jagiellonian University, Poland)
Joanna Fąferek (Jagiellonian University, Poland)
Kaja Gąska (Jagiellonian University, Poland)
Dr. Doctor Jakub Pabjańczyk (Jagiellonian University, Poland)

Max. number of participants: 16
Fee: 30 €

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 tudents

Speakers and trainers:
Dr. Izabela Kądziołka (Jagiellonian University, Poland)
Dr. Ewa Zasada (Jagiellonian University, Poland)

Max. number of participants: 12
Fee: 30 €

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. Please, 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

Speakers and trainers:
Dr. Michał Gajda (Jagiellonian University, Poland)
Dr. Michał Nowakowski (Jagiellonian University, Poland)

Max. number of participants: 12
Fee: 30 €

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, .

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:

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

Speakers and trainers:
Dr. Agata Stalmach-Przygoda (Jagiellonian University, Poland)
Dr. Agnieszka Skrzypek (Jagiellonian University, Poland)
Dr. Dorota Dębicka-Dąbrowska (Jagiellonian University, Poland)
Dr. Michał Pers (Jagiellonian University, Poland)

Max. number of participants: 16
Fee: 30 €

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
 13:30–15:30 Physicians
 16:00–18:00 Students

Speakers and trainers:
Dr. Konrad Bodo (Jagiellonian University, Poland)
Dr. Marcin Koszowski (Jagiellonian University, Poland)

Max. number of participants: 12
Fee: 30 €

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

 14:30–16:00 Physicians and students

Speakers and trainers:
Prof. Gordon Guyatt (McMaster University, Canada)
Prof. Roman Jaeschke (McMaster University, Canada)

Max. number of participants: 12
Fee: 30 € (free of charge for members of the Polish Chamber of Physicians and Dentists)

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. Gordon Guyatt (McMaster University, Canada)
Prof. Roman Jaeschke (McMaster University, Canada)

Max. number of participants: 12
Fee: 30 € (free of charge for members of the Polish Chamber of Physicians and Dentists)

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.

EBM workshops are supported by the Polish Chamber of Physicians and Dentists in the form of an unrestricted educational grant

Workshop schedule

May 11, 2018

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

8:00–8:15

Introduction

Organizing Committee

8:15–8:40

Opening lecture
The most frequent causes of medical errors: how to avoid them

Prof. Melvin S. Blanchard

Washington University School of Medicine in St. Louis, USA

Session I

8:40–9:05

What’s new in the management of acute coronary syndromes

Prof. Zaza Iakobishvili

Rabin Medical Center, Israel

9:05–9:30

Secondary prevention of cardiovascular diseases: current state-of-art

Prof. Gerd Hasenfuß

University of Göttingen, Germany

9:30–9:55

How to keep patients with chronic heart failure out of hospital

Prof. Harriette Van Spall

McMaster University, Canada

9:55–10:20

Managing arterial hypertension in patients with comorbidities: which drugs to choose

Prof. Ally Prebtani

McMaster University, Canada

10:20–10:50

Panel discussion

All speakers

10:50–11:10

Refreshment break

Session II

11:10–11:35

Asthma and COPD exacerbations in the emergency department

Prof. Jadwiga Wedzicha

Imperial College London, UK

11:35–12:00

How to evaluate a patient with chronic dyspnea

Prof. Martin Kolb

McMaster University, Canada

12:00–12:25

Oxygen use in regular and emergency management of pulmonary diseases

Prof. Jadwiga Wedzicha

Imperial College London, UK

12:25–12:40

Best Case Report Contest Awards

Prof. Mark Crowther & Jury

12:40–13:00

Panel discussion

All speakers

13:00–13:40

Lunch break

Session III

13:40–14:05

Primary aldosteronism: when to suspect and how to manage

Prof. Ally Prebtani

McMaster University, Canada

14:05–14:30

How to manage thyroid nodules

Prof. Leonard Wartofsky

Georgetown University, USA

14:30–14:55

When to use insulin in type 2 diabetes

Prof. René Rodríguez-Gutiérrez

Mayo Clinic, USA

14:55–15:20

Iatrogenic acute kidney injury

Prof. Jürgen Flöge

RWTH Aachen University, Germany

15:20–15:40

Panel discussion

All speakers

15:40–16:00

Refreshment break

Session IV

16:00–16:25

Acute diarrheal infections in adults: current management

Prof. Mark S. Riddle

Uniformed Services University, USA

16:25–16:50

HIV infection: an emerging chronic disease?

Prof. Philippe Morlat

Bordeaux Hospital University Center, France

16:50–17:10

Future of postgraduate education in internal medicine

Prof. Runólfur Pálsson

Landspitali University Hospital, Iceland

17:10–17:25

Evidence-based textbook of internal medicine

Prof. Roman Jaeschke

McMaster University, Canada

17:25–17:50

Panel discussion

All speakers

May 12, 2018

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

8:00–8:15

Introduction

Organizing Committee

8:15–8:40

Opening lecture
The end of evidence-based medicine?

Prof. Gordon Guyatt

McMaster University, Canada

Session V

8:40–9:05

Management of GERD and Barrett’s esophagus

Prof. Janusz Jankowski

University of Central Lancashire, UK

9:05–9:30

Use and misuse of long-term proton pump inhibitors

Prof. Paul Moayyedi

McMaster University, Canada

9:30–9:55

Approach to a patient with abnormal liver tests

Prof. Barry Lumb

McMaster University, Canada

9:55–10:20

Current management of chronic pancreatitis

Prof. Matthias Löhr

Karolinska Institutet, Sweden

10:20–10:50

Panel discussion

All speakers

10:50–11:10

Refreshment break

Session VI

11:10–11:35

Osteoporosis in the elderly: what can be done

Prof. Alexandra Papaioannou

McMaster University, Canada

11:35–12:00

Rheumatological emergencies

Prof. Bhaskar Dasgupta

Southend University Hospital, UK

12:00–12:25

Behcet’s disease: current diagnosis and management

Prof. Gülen Hatemi

Istanbul University Cerrahpasa Medical School, Turkey

12:25–12:45

Immune thrombocytopenia: current management

Prof. Bertrand Godeau

Henri Mondor University Hospital, France

12:45–13:00

Panel discussion

All speakers

13:00–13:40

Lunch break

Session VII

13:40–14:05

A patient who bruises/bleeds easily: how to investigate

Prof. Alfonso Iorio

McMaster University, Canada

14:05–14:30

Frequent mistakes doctors make in anticoagulation

Prof. Wendy Lim

McMaster University, Canada

14:30–14:55

How to reverse bleeding in patients on anticoagulants

Prof. Mark Crowther

McMaster University, Canada

14:55–15:20

Evaluation and treatment of iron deficiency anemia

Prof. Morey A. Blinder

Washington University School of Medicine in St. Louis, USA

15:20–15:40

Panel discussion

All speakers

15:40–16:00

Refreshment break

Session VIII

16:00–16:25

Cardiac arrest and resuscitation: 2018 update

Prof. Bernd W. Böttiger

University Hospital of Cologne, Germany

16:25–16:50

Intensive care 2018: practical update for non-intensivists

Prof. Waleed Alhazzani

McMaster University, Canada

16:50–17:15

Medical marijuana: misconceptions and facts

Prof. Kevin Hill

Harvard University, USA

17:15–17:30

Panel discussion

All speakers

17:30–17:40

Closing remarks

Organizing Committee

May 11, 2018

Stara Zajezdnia
ul. św. Wawrzyńca 12, 31-060 Kraków
See on map

Dinner & Dancing!

After a whole day of informative lectures please join us for a delicious dinner served in the cavernous brick hall of “Stara Zajezdnia” (The Old Depot), Kraków’s biggest brewery and beer hall situated in the heart of Kazimierz, the city’s historic Jewish district.

The evening will feature a live musical performance by Jazz Band Ball Orchestra & Stanley Breckenridge, which will be followed by a live DJ set. Join us and dance to your heart’s content!

Jazz Band Ball Orchestra

Jazz Band Ball Orchestra (originally Jazz Band Ball) was formed in 1962 thanks to the late trumpeter Jan Kudyk and a group of students from the Academy of Music in Kraków, Poland. The band debuted in 1965 at the Jazz on the Odra Festival, the oldest jazz festival in Poland. Since then, it has performed a myriad of concerts all over the world, including the North Sea Jazz Festival in The Hague, Netherlands, Dixieland Meeting in Oberhausen, Germany, and the famous Dixieland Jazz Jubilee in Sacramento, USA. The band collaborated with an array of distinguished musicians, including the famous trumpeter Wallace Davenport.

Jazz Band Ball Orchestra & Stanley Breckenridge

In Kraków, Jazz Band Ball Orchestra will perform with another famous musician, Stanley Breckenridge, a pianist and singer who holds a PhD in musicology. Breckenridge lectures at the Department of African American Studies at the California State University in Fullerton, USA, and in the past he also delivered lectures at Maria Curie-Skłodowska University in Lublin, Poland, and Jagiellonian University in Kraków, Poland. He has performed solo and with other musicians in a number of European countries, in Japan and in the USA. He released 9 albums. Stanley Breckenridge has been performing with Jazz Band Ball Orchestra since 2013.

Adapted from http://suwalkiblues.com/stanley-breckenridge-usa-jazz-band-ball-orchestra-pl-2/

Program
McMaster Textbook

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.

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