25th Annual Update In Adult Medicine Program by Department of Medicine

th A n nual U p date in Adult Medicine

April 5 & 6, 2019 DoubleTree By Hilton West Edmonton

MESSAGE FROM THE COURSE DIRECTOR It gives me a great deal of pleasure to welcome you to the 25th Annual Update in Adult Medicine. It is hard to believe that we have been on this journey of learning, discovery and friendship for a quarter of a century. Twenty-five years ago, the Chair of Medicine, Paul Armstrong, had the vision to create an outstanding educational event for our hardworking community of family physicians. All the chairs of medicine since then, including Tom Marrie, John Meddings and Barbara Ballermann have been in full support of this conference. Paul’s original vision was three fold. Firstly, to bring world class medical education in adult medicine to our family physicians right here in Edmonton, with high impact and at low cost. Secondly, to allow junior faculty to develop their presentation skills and increase their exposure to the community that they serve. Finally, and most importantly, to bridge the gap between academic medicine and our community colleagues. I believe that we have achieved all three admirably. This meeting would not be possible without the continued support of you, the audience. Many of you have attended every year. It has been a lot of fun and I have made many friends. I thank you for your support and for trusting me with the role of Course Director. However, at the end of the day, we are here to serve the public and to provide exemplary care for our patients. It is my hope that by attending this conference you will be better prepared to achieve that goal. In the words of Francis, W. Peabody, “Time, sympathy and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine. One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient.” Yours Sincerely,

Peter Hamilton, MD

COMMITTEE Course Director: Peter Hamilton Course Administrators: Andrea Cliff & Andee Pullin Scientific Committee: Grant Davies Lee-Anne Jansma Leslie Preston Sarjiwan Khullar Peter Hamilton

Jacques Romney Lynora Saxinger Ann Thompson Bruce Fisher Cheryl Goldstein

Conference Manager: Andrea Cliff

COURSE OBJECTIVES 1. To provide you with the opportunity to be informed of new developments in adult medicine that will have clinical relevance to your practice. 2. To provide you with an opportunity to refresh your clinical and management skills of common medical problems in the adult. Disclosure: All speakers have been asked to verbally disclose and disclose in their presentation any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of this program.

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NEED TO KNOW Your Agenda:

Please refer to the back of your name tags for your conference agenda. Room allocations can be found on the electronic display boards throughout the hotel and in the program section of this booklet.

Breakout sessions:

Breakout sessions will be held in the Alpine Lakes Rooms: Emerald Room, Amethyst Room, & Morraine Room and the Silver Birch Conference Centre (SBCC) (on the east side of the lobby on the main floor). SBCC #1

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Agenda can be found on pages 8 & 9 Floor plans can be found on pages 6 & 7 Meals:

All meals will take place in the Main Ballroom Friday: Continental breakfast & lunch Saturday: Hot Breakfast & light lunch

Nutrition and Networking Breaks:

Nutrition and Networking breaks will be in Main Ballroom Foyer.

Exhibitors:

Sponsor exhibits will be in the Main Ballroom Foyer throughout the conference.

**There has been NO involvement by any of our exhibitors on the scien-

tific planning committee or in the program or content presented.

Evaluation:

You will receive a link via email a few days after the conference; kindly take a few minutes to complete the electronic evaluation. Your feedback helps us meet your future learning needs and is a critical component to our accreditation application.

NEED TO KNOW Presentations:

Only presentations provided by speakers who wish to share their slides will be available to download at: https://sites.ualberta.ca/~domweb/2019Update/

Password: update2019 PLEASE DO NOT ALTER OR DISTRIBUTE PRESENTATIONS WITHOUT PERMISSION FROM THE SPEAKERS

Certificate of Attendance: A LINK to download and print your Certificate of Attendance will be emailed to you within a few weeks of completeing the conference evaluation. Please print it and keep it in your files. PLEASE NOTE: The link to download your certificate will expire June 30, 2019, you will no longer have access to your certificate after this date.

Planning Committee: If you would like to be a part of the 26th Annual Update in Adult Medicine Planning Committee please contact: domevent@ualberta.ca

SPEAKER BIO’S KEYNOTE SPEAKERS PAUL ARMSTRONG, OC, MD Paul Armstrong is a Distinguished University Professor with the Department of Medicine (Cardiology) at the University of Alberta in Edmonton. He is the founding Director of the Canadian VIGOUR Centre (Virtual Coordinating Centre for Global Collaborative Cardiovascular Research), a University of Alberta Research Centre devoted to enhancing cardiovascular health for current and future generations through the conduct of innovative clinical investigations and the dissemination of their learnings. He was the founding President of the Canadian Academy of Health Sciences (CAHS) and is a Fellow of the Royal Society of Canada. From 1993 to 1999, he served as Professor and Chair of the Department of Medicine at the University of Alberta. During his tenure as Chair, he organized the very first Internal Medicine Update 25 years ago. Dr. Armstrong is an internationally recognized expert in acute coronary disease and heart failure and has a particular interest in novel approaches to clinical trial design and interpretation. ROSE CARTER QC Rose Carter, Q.C. has extensive experience in a broad range of litigation and regulatory matters, with a particular focus on administrative law, health law, personal injury mediation, advanced directives, and biotech and life sciences law. She has represented clients at all levels of Court in Alberta, tribunals, various administrative panels and professional regulatory bodies. Rose offers her clients 25 years of legal expertise and is conversant with the Health Professionals Act. 10

An authority on the issues most pressing for members of the

KEYNOTE SPEAKERS ROSE CARTER QC, CONTINUED...

medical community, clients benefit from Rose’s holistic and informed counsel. Rose represents: Acupuncturists, Chiropractors, Dentists, Hygienists Nurses, Midwives, Naturopaths, Occupational Therapists, Opticians, Optometrists, Paramedics, Pharmacists, Physiotherapists, Physicians,Surgeons, Osteopaths, Podiatrists, Psychologists, Dietitians, Nurses, Respiratory Therapists, Social workers, Speech-language Pathologies and Audiologists. In addition to working on matters with health professionals listed above, Rose represents individuals in serious personal injury cases, and in personal injury mediation. To complement her practice, Rose is an Adjunct Professor of the Faculty of Medicine & Dentistry at the U of A. Rose is a frequent lecturer to Health Care Providers, covering all areas of Health Law on such topics as regulation of professions, other administrative law areas, navigating the requirements of medical assistance in dying (MAID) and medical negligence and bioethics issues. She is frequently recognized for the breadth of her understanding of the topics listed above. Rose has been consistently recommended by the Canadian Legal Lexpert Directory for over a decade, and has been recognized by Best Lawyers in Canada as one Canada’s leading personal injury litigation lawyers ten times. During her six-year term as a Bencher of the Law Society of Alberta, Rose was very involved in administrative law, dealing with hearings related to lawyers undergoing discipline proceedings before the Law Society and general administration and governance matters for the Law Society of Alberta. Rose is a Member at Large for the Medical Council of Canada (MCC), she is Chair of the Appeals Committee and Vice Chair of the Finance Committee for MCC. Rose is also member of the Stem Cell Research Committee for the Aga Khan Foundation. Rose also has been a reviewer for the peer-reviewed journal McGill Journal of Law & Health

PLENARY SESSION SPEAKERS DAVE PRICE

David Price was born and raised as part of a mixed farming family in the area near Acme, Alberta. He is one of the founders of what has now grown into the Sunterra Group of Companies. He has been active as a member of a number of different local, provincial and national organizations, primarily associated with agriculture and the production and processing of food, and policies associated with trade and economics in this sector. Dave has also has been a member of the Board of Governors of the Olds College, and Chairman of the Board of Trustees of the Golden Hills School Division. He says though, that his family is most important, and they miss Greg, who died prematurely as the result of multiple failures and gaps in Alberta's medical treatment system. Dave and his family are working to encourage everyone to more prepared for partnering in care and to support work improvements at all levels. They share their thoughts and experiences on the healthcare system through their Health Arrows website and more recently established a not-for-profit organization Greg's Wings Projects. The first two projects developed by Greg’s Wings are the Falling Through the Cracks film and an online community called the Co-Pilot Collective that is a place to share information, experiences, and ideas that will create the future of health. JAGGI RAO Dr. Jaggi Rao is a double board certified dermatologist (Canada and USA) and a certified cosmetic surgeon. He completed his 5 year dermatology training at the University of Alberta, followed by an accredited fellowship with the American Academy of Cosmetic Surgery in Southern California. Dr. Rao is a full Clinical Professor of Medicine at the University of Alberta.

He has won several accolades for research and teaching, including the Canadian Dermatology Association’s Teacher of the Year Award and in in 2011, he was the recipient of Avenue Magazine’s Top 40 under 40 Award. Has authored over 50 scientific papers and textbook chapters, and has been an invited speaker for over 500 lectures worldwide to physicians, other profession-

PLENARY SESSION SPEAKERS JAGGI RAO, CONTINUED...

als, and the general public. Dr. Rao continues to lend his expertise to various organizations. He sits on the board of directors for CAAM (Canadian Association of Aesthetics Medicine) and acts as a consultant to the government (such as the Canadian Standards Association), laser and pharmaceutical industry, and professional sports teams. He is the creator and visionary behind ConsultDERM™, Canada’s largest teledermatology service, allowing health care providers timely access to assistance for patients with skin-related problems. Due to his well known expertise in laser technologies, he is the co-founder of AMT( Aesthetics Medicine Training Academy of Canada ) which has hosted the only nonbiased comprehensive course in the fundamentals of laser therapy. RICHARD LEWANCZUK Dr. Lewanczuk obtained his MD from the University of Alberta in 1983. He then completed Internal Medicine specialization and entered a combined Endocrinology Fellowship/PhD in Medical Sciences at the U of A which he completed in 1992. This was followed by post-doctoral studies in Montreal, Detroit and New York. In 1994 Dr. Lewanczuk returned to the U of A as a member of the Division of Endocrinology and Metabolism, of which he was Director from 1998-2006. Currently Dr. Lewanczuk is a Professor in both the Departments of Medicine and Physiology. Dr. Lewanczuk assumed the role of Medical Director for Chronic Disease Management for Capital Health in 2007. With the inception of Alberta Health Services he became Senior Medical Director for Primary Health Care. In this portfolio he oversees all primary care activities for the Province of Alberta as well as service delivery in areas that include chronic disease, community and rural health care. Dr. Lewanczuk is active in research with over 300 published papers and abstracts. He has published widely and carried out clinical trials in the areas of diabetes, hypertension, chronic disease management, therapeutic natural products, as well as in the area of drug-disease interactions. His current research centres around the interactions between physical activity, obesity, insulin resistance and cardiovascular function in children, as well as in the area of drug-disease interactions.

PLENARY SESSION SPEAKERS ANDREW HO Born and raised in Edmonton, Dr. Ho obtained his bachelor’s degree with distinction from the University of Alberta in Medical Laboratory Science and completed his medical degree at the U of A. He completed five years of diagnostic radiology training at Memorial University of Newfoundland (MUN), where he served as Chief Resident. He returned to Alberta to complete a sub-specialization fellowship in body imaging at the U of A. Dr. Ho joined Canada Diagnostics Centres in 2017, and currently serves as the principal radiologist at the Ellerslie clinic. Sub-Specialties · Diagnostic Body Imaging · Pain Management · Non-Vascular Image-Guided Interventional Procedures · Breast Imaging and Intervention Education · Medical Degree, University of Alberta · Diagnostic Imaging Residency, MUN Certification · Royal College of Physicians and Surgeons of Canada (RCPSC), specialty of Diagnostic Radiology · Licentiate of the Medical Council of Canada (LMCC) Professional Organizations · Radiological Society of North America (RSNA) · American Roentgen Ray Society (ARRS) · American College of Radiology (ACR) · European Society of Radiology (ESR) · Alberta Society of Radiologists (ASR) · Spine Intervention Society (SIS) · Alberta Medical Association (AMA) · Canadian Medical Association (CMA) · American Institute of Ultrasound in Medicine (AIUM) WINNIE FU

Dr. Fu joined CDC Edmonton operations in 2018. She has spent her medical career in various positions in and around western Canada. Dr. Fu is fully qualified to oversee and interpret a variety of diagnostic imaging procedures. In addition to volunteering as a Journal reviewer for Diagnostic and Interventional

PLENARY SESSION SPEAKERS WINNIE FU, CONTINUED..

Radiology, Dr. Fu enjoys spending her leisure time cooking as well as travelling with her husband and two children. Education · Fellowship Body and Breast Imaging, University of Alberta, Edmonton · F.R.C.P.C. Diagnostic Imaging, University of Alberta, Edmonton · Medical Degree, University of British Columbia, Vancouver · Biomedical Engineering, McMaster University · Bachelor of Engineering, McMaster University Certification · Fellow, Royal College of Physicians and Surgeons of Canada Professional Organizations · Fellow, Royal College of Physicians and Surgeons of Canada, specialty of Diagnostic Radiology · Society of abdominal radiology (SAR) · American College of Radiology (ACR) · Alberta Society of Radiologists (ASR) · Spine Intervention Society (SIS) · Alberta Medical Association (AMA) · Canadian Medical Association (CMA) LYNORA SAXINGER Dr. Lynora Saxinger is an Associate Professor in Infectious Diseases (Department of Medicine and Medical Microbiology and Immunology) at the University of Alberta; having trained at the Universities of Saskatchewan and Alberta with training time at the University of Zimbabwe and Harvard University. Her clinical practice includes HIV, HCV, general Infectious Diseases, and Travel and Tropical Medicine. Current career interests include antimicrobial pharmacokinetics and pharmacodynamics, Antimicrobial Stewardship and Antimicrobial Resistance, and engagement in national and international initiatives in surveillance and control of antimicrobial resistance. She is the current Chair of the Antimicrobial Stewardship and Resistance Committee with The Association of Medical Microbiology and Infectious Diseases, Canada, and Co-chair of the WMC site, Zone, Sector and Provincial Stewardship Committees. A special thank you to Dr. Saxinger, who also sits on the Scientific Planning Committee for the Annual Update in Adult Medicine.

PLENARY SESSION SPEAKERS BILL GIBSON Bill Gibson completed medical school at the University of Sheffield, UK, and received higher specialist training in General Internal Medicine and Geriatrics in South Yorkshire, UK, He also completed a fellowship in Geriatric Incontinence at the UofA. He is an Assistant Professor in the Division of Geriatric Medicine, working at the University of Alberta Hosptial, the Glenrose Hospital, and providing outreach services to Vegreville. His clinical interests include incontinence, frailty, and complex comorbidity in older people. and outside of work he enjoys cooking, walking his dog, and writing pithy autobiographical summaries to precede his talks. ADRIAN WAGG Dr. Adrian Wagg was appointed as Capital Health Endowed Professor of Healthy Ageing and Division Director for Geriatric Medicine at the University of Alberta in Edmonton, Canada in 2010. He is recognised for his continence expertise both nationally and internationally. He has published over 200 peer-reviewed articles, papers, chapters and other works in senior’s health and on the subject of incontinence. He is Chairman of the International Consultation on Incontinence Committee on management of incontinence in frail older people and Co -Chair of the International Consultation on Incontinence, immediate past General Secretary of the International Continence Society and President of the Canadian Continence Foundation and Scientific Director of the Seniors SCN for Alberta Health Services.

BREAKOUT SESSION SPEAKERS ELAINE YACYSHYN Dr. Elaine Yacyshyn is an Associate Professor in the Division of Rheumatology, Department of Medicine at the University of Alberta. She obtained her medical degree from the University of Alberta, then completed residency in Internal Medicine at the Mayo Clinic in Rochester, Minnesota. She then completed 2 fellowships in Rheumatology and Geriatrics also at the Mayo Clinic. Dr. Yacyshyn is an Academic Rheumatologist whose responsibilities include clinical service to rheumatology patients, as well as, a vasculitis and injection clinic. She is actively involved in training medical students, residents and fellow physicians. Her areas of research interest include medical education, vasculitis and quality improvement. She is the current Chair of the Royal College of Physicians and Surgeons Rheumatology Examination Board. BRUCE FISHER Dr. Fisher is a general internist, educator and professor of medicine at the University of Alberta. His educational interests have focussed on clinical teaching and assessment, and teaching professionalism in the UME curriculum. His administrative work as Associate Dean Faculty Affairs for the Faculty of Medicine & Dentistry focused on supporting the processes of reporting, recognizing, and rewarding educational contributions and scholarship, as well as a member of the DOM Academic Evaluation Committee. He also serves as a member of the FoMD Professionalism triage committee. Past experience includes serving as a general medical officer in the Canadian Armed Forces, a CUSO medical volunteer in Papua New Guinea, a clinical clerkship director for internal medicine, a LMCC part 2 examiner, and chair of the Royal College of Physicians Internal Medicine Oral Examination board. A special thank you to Dr. Fisher, who also sits on the Scientific Planning Committee for the Annual Update in Adult Medicine.

BREAKOUT SESSION SPEAKERS STEPHANIE KEELING Stephanie Keeling is an Associate Professor of Medicine at the University of Alberta, Division of Rheumatology. She completed her Master’s in Experimental Medicine with Walter Maksymowych studying inflammatory back pain in spondyloarthritis. Since that time, she has established the University of Alberta Lupus Program with conjoint clinics in Dermatology. She has also collaborated with Cardiology at the Mazankowski Heart Institute and conducted a Cardiovascular Risk Reduction Clinic for Inflammatory Rheumatic Diseases which has now evolved into the new ON-Traac (On Treating Rheumatoid Arthritis, Access to Care) Program with Co-director Steven Katz. This treat-to-target clinic for inflammatory arthritis includes co-morbidity management for osteoporosis and cardiovascular risk utilizing a shared care model with allied health professionals. She is currently the Principal Investigator of GRADE-based recommendations for the diagnosis and management of lupus in Canada. She also participates in the teaching of medical students, residents and fellows. JUSTIN CHEN Dr. Justin Chen is an Assistant Clinical Professor in the Division of Infectious Disease, with The Department of Medicine Dr. Chen received his MD degree at the University of British Columbia. Training in Internal Medicine and in Infectious Diseases followed at the University of Alberta.

He has been on staff at the University of Alberta Hospital since 2016 with an appointment of Assistant Clinical Professor. In 2018, Dr. Chen established the Antimicrobial Stewardship Program for the University of Alberta Hospital as the Site Medical Director. He is the site representative in the Edmonton Zone Antimicrobial Stewardship Working Group and the Antimicrobial Stewardship Program representative at the Walter Mackenzie Centre Site Quality Leadership Committee.

BREAKOUT SESSION SPEAKERS ADAM ROMANOVSKY Dr. Adam Romanovsky is an Assistant Clinical Professor. He completed his training in Internal Medicine, Nephrology, and Critical Care at the University of Alberta. He currently practices both Critical Care and Nephrology at the University of Alberta Hospital. He has a special interest in sodium disorders and remains actively involved with medical education at multiple levels. ROSE YEUNG Dr. Yeung is a Faculty Endocrinologist at the University of Alberta. She completed medical school at the University of Alberta and went on to do residency training in Internal Medicine and Endocrinology at the University of British Columbia. She spent two years at the Chinese University of Hong Kong as a Clinical Investigator Fellow examining the epidemiology of Asian diabetes, while also completing her Master’s in Public Health at The Harvard T.H.Chan School of Public Health. She is a member of the Alberta Diabetes Institute and has research interests in personalized diabetes care delivery, health information technology, and patient reported outcomes in diabetes. ANDREI FAGARASANU Dr. Fagarasanu is an Assistant Clinical Professor with the Division of Hematology at the University of Alberta. He earned his MD degree from "Carol Davila" University of Medicine and Pharmacy in Bucharest, Romania in 2001. While participating as a teaching assistant in anatomy he developed a strong interest for basic research and the molecular mechanisms underlying diseases. In 2002 he came to Canada to be part of the field of medical research and pursued graduate studies at the University of Alberta and obtained a PhD in 2008.

BREAKOUT SESSION SPEAKERS STAN HOUSTON

Dr. Houston received his MD from the University of Saskatchewan. He has had training & qualification in Family Medicine, Tropical Medicine, Internal Medicine & Infectious Disease. He has worked in primary care in northern Saskatchewan and rural Africa, and for 4 years in academic Medicine at the University of Zimbabwe. He also serves as consultant to Travellers Health Services, and the New Canadians Health Centre; and on the Board of Edmonton's needle exchange program. Dr. Houston initiated a course on the epidemiology & control of infectious diseases and is actively involved in international projects including Uganda. He teaches in other disciplines, e.g. Parasitology and Pharmacy and has received awards for medical student, resident and Public Health graduate teaching. He currently sits on the Council of the Alberta College of Physicians and on the board of the Parkland Institute. He enjoys cycling, x-c skiing, running, theatre and reading and keeping up with the activities of his father, wife and 2 adult kids. His primary source of anxiety is current federal government policy in the area of refugee health, among other policies. Dr. Houston is also the Director, Northern Alberta HIV Program

GEORGE ELLEKER George Elleker is a Professor of Medicine at the University of Alberta and a clinical neurologist with long experience in Neuromuscular Disease and EMG.

BREAKOUT SESSION SPEAKERS ZAEEM SIDDIQI Dr. Zaeem Siddiqi, MD, PhD is Professor of Medicine (Neurology) and Director of the Neuromuscular Program at the University of Alberta. He specializes in management of patients with complex neuromuscular and autonomic disorders. As an expert in electrodiagnosis of neuromuscular disorders he has conducted physician-training workshops for Canadian Congress of Neurosciences, American Academy of Neurology, and American Association of Neuromuscular Diseases and Electrodiagnostic Medicine (AANEM). For several years he was an examiner for the American Board of Psychiatry and Neurology. He is involved in translational and clinical research in myasthenia gravis and has been the lead investigator in several national and international clinical trials in this disease. His work has optimized the use of intravenous immunoglobulin in neuromuscular diseases in Northern Alberta and neighboring provinces. Dr. Siddiqi has also served in an advisory capacity to Health Canada and as the chair the of News Science Editorial Board committee for the AANEM

SHANE KIMBER Dr. Shane Kimber is an Associate Professor of Medicine in the Division of Cardiology at the University of Alberta.

BREAKOUT SESSION SPEAKERS KEVIN BAINEY Kevin Bainey is currently an Assistant Professor and Academic Interventional Cardiologist at the Mazankowski Alberta Heart Institute, University of Alberta. He maintains an Associate Faculty position at the Canadian VIGOUR Centre, University of Alberta. He is also the Director of the Interventional Cardiology Fellowship Program at the Mazankowski Alberta Heart Institute, University of Alberta. Past education includes an undergraduate degree in Microbiology at the University of Alberta in 1998, Doctor of Medicine from University of Alberta in 2002, Internal Medicine and Cardiology training at the University of Alberta and Fellowship of the Royal College of Physicians and Surgeons of Canada in 2006 (Internal Medicine) and 2008 (Cardiology). He also completed an Interventional Cardiology Fellowship at Harvard University’s Brigham and Women’s Hospital in 2009. He was a Clinical Scholar in Interventional Cardiology at McMaster University from 20092011. He completed his Master of Science in Health Research Methodology from McMaster University in 2013. He is the recipient of the Canadian Society for Clinical Investigation Resident Research Award (Alberta) and was a Clinical Research Student Presentation Award Nominee for the Canadian Cardiovascular Congress. He has received the University Of Alberta Department Of Medicine Research Award on numerous occasions throughout his training at the University of Alberta. Bainey’s research efforts are widely published amongst academic and peer-evaluated journals. Currently, his research interests include reperfusion in STEMI. His work on spontaneous reperfusion has lead to a definitive understanding of enhanced clinical outcomes seen in these patients. Additionally, Dr. Bainey has a special interest in ethnic-based clinical research focusing primarily on South Asians with established coronary artery disease.

BREAKOUT SESSION SPEAKERS VINCENT THAI Dr Vincent Thai graduated from the National University of Singapore in 1994. He obtained his Membership of the Royal College of Physicians from UK and Masters of Medicine in both Internal and Family Medicine in 1999. Dr Thai proceeded to complete his Fellowship in Palliative Medicine in Edmonton, in 2002-2003, under the auspices of the University of Alberta. He has worked as a Palliative Physician in the various parts of the Edmonton Regional Palliative Care Program and obtained his CCFP in 2004. He is also the recipient of the Humanistic Award under the auspices of Faculty of Medicine and Dentistry twice, as well as, the Champion of Care and Reach Awards from the University of Alberta Hospital. He is very clinically orientated and is involved in teaching and research activities of the Division of Palliative Care Medicine in the capacity of Associate Clinical Professor. He is also the Director of the Palliative Care Services at the University of Alberta Hospitals and visiting Consultant at the Cross Cancer Institute. Research interests include prognostication and cardiac palliative care. HELEN MARIN Helen Marin is a breast cancer pharmacist at the Cross Cancer Institute. She completed her BSc in Physiology from the University of Montreal in 2010, and then pursued her MSc in Pharmaceutical Sciences at the University of Montreal. She then completed pharmacy school at the University of Alberta in 2017 and went on to do residency training in Oncology at the Cross Cancer Institute and Tom Baker Cancer Center. During her hospital residency Helen researched the effect of palliative care consults in deprescribing in palliative cancer patients. Her clinical and research interests include oncology, pharmacogenomics, palliative care, deprescribing, sexual health and symptom management.

BREAKOUT SESSION SPEAKERS PUNEETA TANDON Dr. Tandon is a hepatologist, who works with patients who have liver disease, specifically cirrhosis. She developed the Cirrhosis Care Clinic at the University of Alberta Hospital. In just over 10 years the cliic has grown from one patient to almost 500 patients.

CYNTHIA WU Dr. Wu is an assistant professor in the Division of Hematology at the University of Alberta. She completed her Medical School and Internal Medicine Residency training at the University of Alberta and a Hematology Fellowship and Thrombosis Fellowship at McMaster University in Hamilton, Ontario. She has a particular interest and expertise in venous thromboembolism. She is a local principle investigator for various thrombosis clinical trials and an Alberta lead in national thrombosis groups such as Thrombosis Canada and CanVECTOR. Dr. Wu is the director of the Edmonton Cancer Associated Thrombosis Clinic which she opened in November 2014 and which has, to date, evaluated over 1000 new patients with cancer associated thrombosis. Dr. Wu is also keenly involved in mentoring trainee research projects including those with medical students, residents and graduate students.

BREAKOUT SESSION SPEAKERS ALAN MCMAHON Dr. McMahon is an Associate Professor of Medicine with the Division of Nephrology and Transplant Immunology, Medical Director, Northern Alberta Chronic Kidney Disease Clinic. Assistant Director, Nephrology Training Program. Dr McMahon did his medical training at the University of Alberta, graduating in 1991. He did his Internal Medicine and Nephrology subspecialty training at the University of Alberta as well, and joined the Division of Nephrology in 1997. Dr. McMahon is heavily involved in medical education at both the undergraduate and postgraduate level. He is currently the Coordinator for the Undergraduate Renal Lecture Block and is involved in lecturing, as well as, curriculum and exam development. He also coordinates all undergraduate electives in Nephrology. Dr. McMahon is also currently the Assistant Program Director for the Nephrology Residency Program at the University of Alberta. He works extensively with the General Medicine Residents as they rotate through Nephrology and coordinates all resident electives in Nephrology. WINNIE SIA Dr. Winnie Sia is an Associate Professor in the Department of Medicine at the University of Alberta. She did her Internal Medicine residency training at the University of Alberta, and then completed a 2-year Fellowship at Brown University, Providence, USA, in Obstetric Medicine (or Medical Complications in Pregnancy). She is the Program Director for the Obstetric Medicine Fellowship at the University of Alberta. She is the Chair of the National Obstetric Medicine Fellowship Diploma Committee. Her research interests include thromboembolic diseases in pregnancy/postpartum, as well as, longterm vascular health in women who had preeclampsia. Dr. Sia is also the Head of Internal Medicine at the Royal Alexandra Hospital.

BREAKOUT SESSION SPEAKERS JACQUES ROMNEY Dr. Jacques Romney is a clinical professor in Endocrinology and Metabolism within the Department of Medicine, University of Alberta. He practices general endocrinology with an interest in lipids, and also is interested in process improvement and clinical informatics. He is the Faculty of Medicine and Dentistry Associate Dean of Health Informatics and also the Chair of the CPSA Medical Informatics Committee. Dr. Romney obtained a B.Sc. in biochemistry in 1990, then an M.Sc. in Medical biochemistry in 1992 both at the University of Calgary. He obtained his MD from the University of Alberta in 1996 and subsequently did his internal medicine and endocrinology training at the University of Alberta, starting as staff physician at the University of Alberta Hospital in 2001. A special thank you to Dr. Romney, who also sits on the Scientific Planning Committee for the Annual Update in Adult Medicine.

IRVIN MAYERS Irvin Mayers is a Professor of Medicine at the University of Alberta. He obtained his MD from the University of Manitoba in Winnipeg and moved to the University of Saskatchewan (1985). He then moved to the University of Alberta (1994). His clinical interests include asthma, chronic obstructive pulmonary disease (COPD) and sleep medicine. His research interests include Translation of clinical research to clinical practice (non-invasive mechanical ventilation for COPD exacerbation, internet-based asthma management); the interactions between sepsis, platelet function and matrix metalloprotease activity; health-related quality of life in sleep apnea syndrome

DISCLOSURE OF FINANCIAL SUPPORT

This program has received financial support in the form of educational grants from: Alberta Medical Association Physician and Family Support Program AstraZeneca Bayer Healthcare Canada Diagnostic Centres Janssen Lilly Merck Novartis Sun Life Financial **There has been NO involvement on the scientific planning committee or in the program or content presented. This program has not received in - kind support. Sponsorship funds/unrestricted grants-in-aid of continuing medical education will be used to: Reduce overall conference expenses for all conference attendees To cover the costs associated with networking and nutrition breaks for all attendees Compensate for the reasonable honoraria, travel, meals, and lodging for external expert speakers retained at the sole discretion of the educational program Provide scholarships intended to reduce the costs and expenses for medical students, residents, fellows Program materials

Thank you to the following for providing unrestricted grants-in-aid of continuing medical education