WINTER 2014 by Just For Canadian Doctors

WINTER 2014

DOCTORS life + leisure

win a VISA gift card! PAGE 37

explore the

Big Island ice climb in

Alberta

+ escape to

BAHAMAS Speed Week + Team Broken Earth in Haiti + hot winter MUST-HAVEs + living LA DOLCE VITA… ÄUHUJPHSS`

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JUST FOR C

DOCTORS life + leisure

WINTER 2014

CONTENTS

WINTER 2014 Editor Barb Sligl Art Direction BSS Creative Contributing Editor Janet Gyenes Editorial Assistant Adam Flint Contributors Michael DeFreitas Dr. Holly Fong Darryl Leniuk Dr. Chris Pengilly Manfred Purtzki Dr. Kelly Silverthorn Roberta Staley Cover photo B. Sligl Senior Account Executive Monique Nguyen Account Executives Wing-Yee Kwong Lily Yu Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

Associate Publisher Linh T. Huynh

FEATURES

13 climbing Canmore Via shimmering sheets of ice 18 go big in Hawaii Where the Big Island offers it all

Production Manager Ninh Hoang Circulation Fulfillment Shereen Hoang CME Development Adam Flint Founding Publisher Denise Heaton

CLOCKWISE FROM TOP LEFT: DARRYL LENIUK; B. SLIGL (2)

Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

COLUMNS

DEPARTMENTS

8 photo prescription

5 winter mix

Shooting on the move

10 motoring Bahamas Speed Week

12 pay it forward Dr. Paul Duffy and Team Broken Earth Essential bar tools, part 2—the booze The slow braise

31 doctor on a soapbox

Printed in Canada.

Other side of the stethoscope

miss an issue? check out our website!

33 employment opportunities 37 sudoku 38 small talk with Dr. Alister Frayne

16 the thirsty doctor 17 the hungry doctor

www.justforcanadiandoctors.com

25 CME calendar

32 the wealthy doctor La dolce vita

COVER PHOTO

Blissful poolside lounging at the Four Seasons Resort Hualalai on the Kohala Coast of Hawaii’s Big Island…just one must-stay stop on our tour of this magical isle. Story on page 18.

WINTER 2014 JUST FOR CANADIAN DOCTORS

FROM THE EDITOR

winter rush

Working together for our patients

JUST FOR CANADIAN DOCTORS WINTER 2014

mbrace the ice. It’s chilly, yes but it’s also striking beauty-wise. Just think of the crystalline forms found in the curtains of ice that are frozen waterfalls. In winter, ice climbing such slick routes only makes the scenery—and your foothold (or, rather, crampon-hold)—that much better. Just outside Canmore in Alberta, the winter onslaught means a spike in adrenaline-seeking ice climbers and a chance to discover an entirely different perspective. Waterfalls are now slick climbing walls. Game on. And, if you’re a beginner, then the rush only promises to be that much richer (see page 13). If you want a more controlled environment, there’s the man-made climbing tower at Big White near Kelowna, BC. Under the patient tutelage of youngand-very-with-it guides, you’ll scramble to the top, pretty much guaranteed. Those guides’ patient encouragement may not help win you any races, but this kind of exertion is one sureﬁre way to partake in winter’s wonderland. (page 6). Most of us, though, will opt for the winter getaway plan. That is, Hawaii. This year, make it the Big Island. And make it the Kohala Coast (page 18). It’s a resort paradise carved out of lava rock, and it’s an easy home base for exploration from north to south, Hawi to South Point, cowboy country to coffee plantation. One doctor who’s making the most of his travels is Dr. Alister Frayne—from ostrich riding (really) to developing his own brand of exotic tea (page 38). Another physician on the move is Dr. Paul Duffy, whose work with Team Broken Earth takes him to the most devastated parts of the world to provide relief from traumatic injuries (see page 12). On a lighter note, why conﬁne giftgiving season to the holiday rush? Treat yourself or someone you love to one of the cool picks in our gift guide (page 7). Think of it as a new year’s bonus. And, as always, let us know if you have a story to share. We want to know where in the world you’re travelling, photographing, volunteering, working…stay in touch through justforcanadiandoctors.com. Enjoy the winter rush! feedback@InPrintPublications.com

mix

stay

B SLIGL

here!

BIG ISLAND BLISS

On this guest ranch on the quiet north end of Hawaii’s Big Island, there’s a private pool, historic house, chicken coop, horse riding, ancient heiau within easy reach and artist enclave in the nearby town of Hawi…think bliss. >>

WINTER 2014 JUST FOR CANADIAN DOCTORS

mix

ice ice baby

winter

BIG ISLAND

just do it!

BLISS

MAKE LIKE A PANIOLO AT PUAKEA RANCH Paniolo is the Hawaiian word for cowboy, stemming from “espanola,” used to describe the original Spanish vaquero who came to the island in the late 1800s. On Puakea Ranch, listed on the State Historic Register, you’ll be following in the footsteps (or horse trails) of four generations of paniolos and plantation workers who once lived here. There are four gorgeously restored ranch houses on this country estate in North Kohala. Our pick: Yoshi’s House with its wraparound deck or lanai (with killer ocean views) and a stunning pool (think lava-rock beauty overlooking ranchland and sea and maybe even Maui; see page 5). There’s also Cowboy House, a former bunkhouse, Miles Away and James Cottage. Each property oozes character with local art and Hawaiiana. And to get in full-on paniolo mode, there’s horseback hotel / riding, of course (see the resident equestrian MUSTbeauties on page 22). Best STAY thing about this hideaway: it feels remote but is still only minutes from Hapuna Beach (listed as one of the top beaches in the world) and has wiﬁ (that is, if you’ll use it…maybe just to post envyinducing Instagram images). —B. Sligl puakearanch.com See page 18 for more on the Big Island.

hot

TACKLE A TOWER…OF ICE ”You’re doing great, keep going.” Arms shaking, knees wobbly, breath winded…I’m not feeling that great, but I keep going. I’m climbing a 60-foot tower of ice under the calm reassurances of Aussie guide Joe. After what seems like a few more minutes or so (time seems irrelevant when you’re clinging to slick icefall with just millimetres of ice-axe leverage), I make it to the top to

sport Ä_

ring the bell suspended there. It’s a serious adrenaline rush and I feel chuffed …even knowing afterward that Joe’s record is a mere 19 seconds. Gulp. Here, at Big White Ski Resort, just over 50 km southeast from the Okanagan Valley hub of Kelowna, it’s easy to feel chuffed. That morning, I skied through fresh powder amidst fantastical snowghosts. That winter wonderland continues throughout the Okanagan—from the top

of Silver Star in Vernon to the slopes of Mt. Baldy near Osoyoos. Whether slopeside amidst surreal snowscape or atop a man-made ice tower, the never-ending views of the Monashees and surrounding valley just add to the winter rush. Now, if I can shave some seconds (or, rather, minutes!) off my climb here, maybe I can head out there… —B.S. GO! For more on the winter wonder of the Thompson Okanagan region: thompsonokanagan.com/ travel_guide/

CAUGHT THE ICE-CLIMBING BUG? Go beyond the tower and head into the wild (winter’s frozen landscape offers myriad climbing routes) on a multi-day ice climbing course. See story on page 13.

JUST FOR CANADIAN DOCTORS WINTER 2014

B. SLIGL

historic hideaway

getaway

give + get winter

hot list give

mix

winter

Here’s what to give + get this season and into 2014 Written + produced by Janet Gyenes

1 + 2 THE ANGLER He can tote the retractable Pocket Fishing Pole to watering holes worldwide, and the Ultimate Fishing Tool has everything for tackling the one that didn’t get away. $45, Pocket Fishing Pole. $24, Ultimate Fishing Tool, Restoration Hardware; rh.com

3 THE ROAD-TRIPPER The sojourner will enjoy ticking off the days until the next stateside adventure, inspired by beautifully rendered landmarks in the Travel America calendar. $26, Rifle Paper Co.; riflepaperco.com 4 THE DANDY Even if he can’t race up the Long Island coast in Jay Gatsby style, these sterling silver Roadster cufflinks will transport him to the seaside during a delightful daydream. $605, Tiffany & Co.; tiffany.ca 5

CUFFLINKS PHOTO: © TIFFANY & CO.; FISHING ROD PHOTO: WWW.RH.COM / RH, RESTORATION HARDWARE

5 THE BIBLIOPHILE Acknowledge her love for the written word. The crystallized layers of these agate book ends are as intricate as a well-woven story. From $16.99 ea., HomeSense; homesense.ca 6 THE ENTERTAINER A must-have for every host? Toothpicks infused with essential oils (Lemon No. 11) or spirits (Single-Malt No. 16). $19.99/4 pack, Old Faithful Shop; oldfaithfulshop.com

2013 EDITOR’S PICK 6

7 THE MODERNIST These jewel-like glass Vitriini boxes from Finland’s Iittala are sparkling in their simplicity. From $39, Quasi Modo Modern Furniture; quasimodomodern.com 8 THE MIX MASTER No bartender will balk at a bottle of artisanal spirits, such as London Dry Gin, a smooth sipper handcrafted at Vancouver’s Long Table Distillery. $49.99, BC Liquor Stores; bcliquorstores.com

9 THE GOURMET Chefs and foodies alike will appreciate the bright and fruity ﬂavours of Sicily (by way of Brooklyn) encapsulated in Frankies 457 organic extra-virgin olive oil. $29, Old Faithful Shop; oldfaithfulshop.com 10 THE ANGLOPHILE This trio of Tom Dixon candles recreate the essences of England. Think crocuses intermingled with the Thames, Indian weddings redolent of roses, and tea time with strawberry scones. $84 ea., GR Shop Canada; grshop.com

savour Sicily! WINTER 2014 JUST FOR CANADIAN DOCTORS

P H O T O P R E S C R I P T I O N M I C H A E L D E F R E I TA S Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

shooting on the move Buses, planes and trains offer an interesting photographic platform

n a recent trip to Egypt I was on a tour bus headed for one of the country’s many ruins. I grabbed an aisle seat near the front in case something photo-worthy popped up and checked with our guide that I could sneak up front periodically to shoot. Then I just watched and waited. The large windshield was like a giant portal into daily Egyptian life. Soon after presetting my camera controls, I noticed a colourful local Egyptian bus up ahead. I moved up to the windshield as we drew closer. The back of the bus was open and one of the male passengers looked directly at me as I snapped away. I captured his intent stare framed by the colorful bus. A bit further down the road, I shot an old Arab man sitting on his grassladen donkey. A moving vehicle is like a blind. You can shoot out, but your subjects usually don’t realize that you’re there. Removing yourself from the scene lets you capture more natural-looking images than if you were on foot and your subject was aware of you. Shooting from any moving vehicle has its challenges, but you can improve your odds with a few easy techniques. Blurred images caused by bouncing around and engine vibrations are the biggest problem when shooting from a moving vehicle. Use a fast shutter speed to neutralize most vibrations and camera shake. I typically set my camera controls to shutter priority mode and select a shutter speed of 1/500 to 1/800 of a second, depending on the vehicle’s speed and vibration. Glass windows also produce blue colour casts and reﬂections. (Needless to say, it’s best to shoot through an open window where possible). The tint on most vehicle

windows typically adds a blue or “cold” hue/cast to your images by blocking out the warmer colours (reds and oranges). Set your camera’s white balance control to “cloudy” to add some warmth and reduce the blue cast. Reflections are a bit trickier to eliminate, but you can reduce their effect by getting your lens as close to the window as possible. Use a lens hood when shooting through any window and position the hood against or a few millimetres away from the glass to prevent stray light from hitting the window in front of the lens. This will reduce most reflections. But remember to increase your shutter speed when doing this. Your body does a pretty good job of absorbing vibrations, but when your lens or camera touches any surface of a moving vehicle, it vibrates and shakes at the same frequency as that surface, producing blurred images. On a recent Caribbean trip I snapped some shots as we flew over the beautiful Grenadine Islands. I pressed my lens hood against the window to reduce reflections and increased my shutter speed to 1/1000 of a second to compensate for the plane’s engine vibration passing from the window to my camera. When shooting from a moving vehicle, I get the best results when using a medium telephoto lens (70 – 150 mm range). Eliminating reflections is more difficult with wide-angles lenses (16 – 35 mm range), and long telephoto lenses (150 – 400 mm) tend to magnify vibrations and shake. Travellers spend a lot of time on buses, trains, boats, cars and planes. Use that time and these techniques to take some dynamite images.

PRO TIPS for shooting on the move > Sit at a window. > Check routes and time of day before picking a seat. Choose a seat on the side away from the sun so you’re not shooting into it. > Use wet wipes to clean glass. > A polarizing filter helps reduce glare and reflections off the glass.

JUST FOR CANADIAN DOCTORS WINTER 2014

> Wrap a dark-coloured shirt or scarf around lens end when pressing it to the window to reduce reflections and vibrations. > Light, bright clothing reflects. Wear darker colours. > Turn off your flash.

GEAR UP! Lens hoods stop stray light/glare from hitting the lens front, help protect it and reduce reflections. Rubber hoods are best for shooting on the move as they absorb vibration and press against glass better. Most camera manufacturers offer plastic and rubber lens hoods ($6 – $35).

MICHAEL DEFREITAS

Shooting on the move Killing time en route on a bus, plane or train? Look through the window and, with the help of a lens hood and polarizing filter, take some shots. TOP Sit at the front of the bus and use your anonymity and perch to shoot scenes just outside the front windshield, like this image in Egypt. ABOVE Another through-thewindshield shot from a bus in Egypt.

Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

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MOTORING

D R . K E L LY S I L V E R T H O R N Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’ automotive writer.

it’s better in the Bahamas Hot cars + hot weather make a great mix in Nassau during the Bahamas Speed Week Revival

s November a month you long to head south? Me too. This is when daylight hours in Canada are painfully short. The skies are an oppressive grey but not yet generating enough snow cover for winter play. And Christmas is too far off to act as a mental-refuge buffer. So when I learned of the Bahamas Speed Week Revival, scheduled for November’s ﬁnal week, I rejoiced that my month was saved. The Bahamian sun— mingled with the sights, sounds and smells of classic racing cars—would surely provide November’s remedy. My wife even expressed genuine enthusiasm. To execute a “Revival,” one must reference an original. The Bahamas Speed Week ran from 1954 to 1966. Sixty or more top sports

car teams from Europe and the Americas would come together in a festive season-ending week of racing. Key Nassau ingredients were large cash prizes, brilliant sunshine and legendary parties. Winners included a who’s who of post-war racing greats: de Portago, Moss, Gurney, A.J. Foyt, Penske and Donahue. The list of winning makes is equally illustrious: Ferrari, Maserati, Scarab, Aston Martin, Lotus, Chaparral and Lola. Bahamian political winds of the mid60s are said to have doomed the original Bahamas Speed Week. A then-new government of populist leanings did not sit easily

alongside catering to an international jet set. Nevertheless, it’s the same left-of-centre parties in government that now largely underwrites international organizers re-establishing a racing event that attracts high-value, shoulder-season visitors. Stirling Moss was a marquee driver attraction back in the day… and contemporaneously too. Now knighted, the 83-year-young Sir Stirling still races his beautiful red 1956 OSCA (see photo). The modern Bahamas Speed Week (Revival) is centred at Arawak Cay, less than a mile from the downtown Nassau cruise ship terminus. Between these two landmarks is the ofﬁcial host hotel, the British Colonial, established in 1898. Unlike Racing legend

with timed runs from Arawak Cay up the bluffs to this historic military installation. The fastest hillclimb times of the day, by some margin, are the cadre of modern 125-cc Shifter Karts present. (Further history lesson: the First Annual World Karting Championship was held in Nassau in 1959!) Fastest “car” on the hill is a late-model limited-edition ACR Viper—Dodge’s answer to showroom-legal race-ready cars, from Porsche and Ferrari. Saturday’s fastest classic car is a multi-milliondollar 1957 Ferrari 500 TRC. Sunday is the Arawak Cay Sprints, essentially competitive timed laps of a 1.6-mile circuit on closed public roads around Arawak Cay, including two inter-island bridges. The spectator experience is enhanced by a capable public address system anchored by Sir Stirling Moss in his a professional radio host, bleachers at the bright-red OSCA, and best vantage points, pedestrian bridges some of the other sweet and a VIP tent option. Ed Hugo in the rides seen at Bahamas ACR Viper triumphed again among the Speed Week. For more modern cars with a one-minute-andgo to bahamasspeed29-seconds lap. Simon Arscott in the 1966 week.com. Aston Martin DB5 was fastest of the classics at one minute and 35 seconds. The more “in the moment” readers will already be thinking…Friday, Saturday, Sunday do not a “Revival Week” make. Indeed, the original Speed Week boasted wheelto-wheel racing every day for eight days. Contemporary Speed Week features social events for participants on the Wednesday and Thursday. 2012 was just the second edition of the Revival, and subsequent versions will hopefully trend to filling out the week with more competition. Old Nassau’s backstreets mimic some of the great townbased special stages in Targa Newfoundland, many such vintage hotels, the Colonial is in so there is clearly promise for more Bahamian fine fettle. racing formats. Public portions of Speed Week begin It would take a cold heart indeed not to Friday evening with a robust street party celcheer for the future success of the Bahamas ebrating the competition cars. The Bahamian Speed Week Revival. I fully credit this young locals appear quite adept at such events. event in drawing on the resources available to Perhaps they are just tuning up for the worldre-establishing the Bahamas as an important renowned Junkanoo Festival (spans Boxing stop on the international racing calendar. It’s day to New Year’s). After the street party, the got great history, tropical scenery, warm tropimany downtown restaurants will vie for your cal climate and a government that’s now fully attention. My picks for eateries here: Van on side. And the Bahamas should definitely Brugel’s, Café Matisse, Athena Cafe, Luciano’s stick with its late November date to attract us and the Brussels Bistro. sunshine-starved Canadians. Saturday is the Fort Charlotte Hillclimb,

JUST FOR CANADIAN DOCTORS WINTER 2014

PAY I T F O R W A R D

R O B E R TA S TA L E Y

Roberta Staley is an award-winning magazine editor and writer with experience reporting from the developing world and conflict and post-conflict zones. Staley specializes in medical and science reporting and is a magazine instructor at Douglas College and Simon Fraser University.

healing Haiti

pickup truck filled with Haitian National Police, dressed in combat helmets and bulletproof vests and touting handguns and shotguns, roared into the paved concourse of Hospital Bernard Mevs in Haiti’s capital city of Port-au-Prince. They quickly unloaded a semi-conscious and bloodied officer from the bed of the truck and carried him into the hospital emergency room. A bullet had penetrated the officer’s vest during a gun battle with thugs, tearing the man’s superior vena cava and causing blood to pour out his chest. Dr. Andrea Boone and Dr. Walley Temple

Dr. Paul Duffy helps wheel a new patient into the emergency room at Hospital Bernard Mevs in Port-au-Prince, Haiti.

of Foothills Medical Centre in Calgary—both of whom had arrived in Haiti earlier in the day— realized a thoracotomy was the only option. As they scrubbed up, the man’s vital signs—blood pressure, heart rate and respiration—began to crash. One hour later however, the patient was not only alive but recuperating in Bernard Mevs’s Intensive Care Unit. “The team saved his life,” says Paul Duffy, who was the head administrator for the Team Broken Earth Calgary mission to Haiti last October. “So we started on a good note.” The one-week expedition to Haiti was the latest undertaken by the Calgary chapter of Team Broken Earth, a medical

NGO founded in 2010 by Newfoundland orthopedic surgeon Dr. Andrew Furey to assist those injured in Haiti’s devastating earthquake. Even before the 2010 temblor killed at least 100,000 people and displaced 1.5 million more, Haiti was already considered the poorest nation in the Western hemisphere. The earthquake devastated the nation even further. Sixty percent of the health care infrastructure collapsed, along with four hospitals. This latest Team Broken Earth Calgary trip included Duffy and 28 other medical professionals: orthopedic trauma surgeons like himself, general, trauma and plastic surgeons, surgical residents, nurses, a respiratory therapist, a physiotherapist and a paramedic. It wasn’t Duffy’s ﬁrst time in Haiti; he travelled here in 2012 when Team Broken Earth dealt with earthquake injuries that had never been treated. Today in Haiti, the healthcare system has improved slightly, as has the earthquake cleanup, although garbage, rubble and collapsed buildings still dominate the Port-au-Prince landscape. “We’re no longer in earthquake mode but we’re in a recovering health care system that has no resources mode,” Duffy says. That didn’t mean that Team Broken Earth—which carted down 20 hockey bags full of medicines, bandages, orthopedic prosthetics as well as toys and books for orphans—wasn’t shocked by the depth of suffering. They saw broken bones, massive infections, enormous tumours, facial gunshot wounds and congenital defects that had lingered for months and years, leaving shocking afﬂictions they would never encounter in Canada. Bernard Mevs, a fee-for-service hospital run by Florida’s Project Medishare for Haiti, turned its operating and recovery rooms over to the Canadians for the one-week stay. During this time, the team did 45 surgeries:

JUST FOR CANADIAN DOCTORS WINTER 2014

20 of them orthopedic, 14 general and 11 plastic—all for free. They amputated some “pretty grotesque infections,” including the leg of a boy who had developed bone cancer in the knee, says Duffy. Treated by naturopathic herbs and pastes, the limb had swollen almost to the size of the boy’s torso, and the wound was open and festering. The lack of sub specialty services and pathology laboratories in Haiti means cancers like the young boy’s go undiagnosed, making amputation the only alternative, Duffy says. With devastating injuries come miracle cures. The surgical team corrected the feet of 13-year-old Dashka, whose family had abandoned her at Tytoo Gardens Orphanage because they felt her turned-in, bilateral cavovarus feet were the sign of a voodoo curse. The team’s plastic surgeon, Dr. Fred Loiselle, undertook tendon cord transfers, giving one paraplegic girl the ability to grasp things, which meant she could push a wheelchair and ﬁnally become mobile. Team Broken Earth also visited Portau-Prince’s General Hospital and selected 26 patients, many with hip fractures, who had been bedridden for up to two years while awaiting surgery. Oftentimes the delay was due to a lack of money. Haiti does not have universal health care and the patient’s family can’t afford the cost of the surgery as well as the required implant or prosthetic. This tempered the team’s feeling of accomplishment, knowing that thousands of people, desperate for medical help, remain in Port-au-Prince. “I grapple with this the whole time I’m down there,” says Duffy, who is planning to return to Haiti this spring. “We ﬁx three femurs and pat ourselves on the back, but there’s another 50 of them outside the door.” Perspective is needed. In the great scheme of things, three successful femur surgeries may not be big, but for the patients “it’s huge—you drastically change their lives.” This raises a bigger question, says Duffy. “How do we solve worldwide poverty? You have to act small and think big and hopefully you’ll get enough people creating change.”

COURTESY DR. TECTOR

An orthopedic trauma surgeon’s work with Team Broken Earth brings much-needed relief

travel at home

As the temperature dips, a frozen landscape comes to life and offers a new adrenaline rushâ&#x20AC;Ś ICE CLIMBING. Strap on some crampons, wield a pick and go where only winter will let you

ICECAPADES STORY + PHOTOGRAPHY BY DARRYL LENIUK

WINTER 2014 JUST FOR CANADIAN DOCTORS

travel at home

harp shards of ice bounce off my face like broken glass on a crashtest dummy. Each swing of my ice axes sends frozen debris flying: a fist-sized chunk ricochets off my forehead; another fragment finds its way down my neck, under three layers of clothing, and melts against my belly. I’m 20 metres up a frozen waterfall called The Junkyard, just outside Canmore, Alberta, in the heart of the Canadian Rockies. At the base of the icy 60-degree slope, Steve Holeczi, my guide from Yamnuska Mountaineering School, controls the rope that I’m harnessed into and shouts encouragement. But I don’t want to go any higher. My forearms burn from death-gripping the two ice axes I use to pull myself up and my calves wobble uncontrollably as I struggle to secure my crampons in the icy slope. I try to remember Holeczi’s coaching: crampons need full contact with the ice to be effective; ice axes need to be solid, like an axe in a block of wood; and body position is everything. This was the beginning of Yamnuska’s introductory two-day ice climbing course. Wearing crampons made me feel like a clawed monster from Middle Earth; the sharp spikes protruded from my feet like talons. But it’s this awkward equipment that makes the sport possible. With its roots in 19th-century mountaineering, ice climbing has evolved considerably since the days of chopping steps to climb a frozen slope. In the 1930s, Laurent Grivel designed front-pointing crampons. Then in 1966, Yvon Chouinard, founder of the Patagonia clothing line, developed the first ‘reverse curve’ ice picks, which enabled climbers to get purchase on vertical ice. When I finally reach the top of the 30-metre rope, I turn around for the first time. I’m frightened at how high I’ve come and at not being able to see Holeczi over the cauliflower-shaped slope. I call out and am reassured when I hear his reply. I lean back and take in the view: across the ice-covered Bow Valley, the snowy peaks of the western Rockies glisten in the waning afternoon light. Looking closely, I can see tiny white threads dangling off these mountains. More frozen waterfalls. In all, there are over 1,000 ice-climbing routes within a two-hour drive of Canmore, making this town of 12,000 one of the best places in the world for the sport. Each winter

Canmore plays host to an ice climbing festival and is the scene of a vibrant iceclimbing culture. I repel to the base of the falls, and Holeczi is waiting for me with a high-five. “How was that!” says the lanky, bearded guide. “Felt pretty good,” I reply. “How do your hands feel?” I don’t notice them until he asks. But then I realize they’re both hot and cold and tingly. And they hurt like hell. “Hah! You’ve got the screaming barfies!” he says. When warm blood returns to your hands after gripping ice tools in cold weather, he explains, the effect is pain so bad you want to vomit. It’s a common side effect of ice climbing and will go away he assures me. After a few tips on footwork, he sends me back up, but this time with only one axe. Now I’m forced to totally support myself on my feet when I swing my axe. I tremble at first, not trusting the fang-like protrusions coming out of my boots. But I don’t slip; my feet are rock-solid. I try other movements with my crampons to give my ankles a rest and shift my weight side-to-side. I swing the axe fluidly, and feel the hold it’s meant to provide. It goes much smoother, and I’m up in half the time. Being a beginner rock climber, I had thought of ice climbing as a more extreme version of a sport I was not very good at to begin with, and that I would be woefully underskilled to have a go at it. But almost anyone can climb ice. My biggest concern was the ice itself. Unlike rock, ice melts, cracks, breaks and is otherwise a whole lot less stable than granite. When I asked Holeczi about accidents, he explained that the sport has a very good safety record. “The equipment is at the point that it far exceeds what we’ll put onto it.” He told me that the ice screws used for securing ropes can hold 1,000 kg or more. Even so, there are a handful of fatalities involving ice climbing each year. Most involve avalanches. Since the best ice routes tend to form in narrow canyons and gulleys, which are also prime avalanche territory, an understanding of the backcountry is important. “The danger is in how you interpret the environment,” said Holeczi. Using a qualified local guide is one of the best ways to minimize the risk. Marc Ledwedge, a public safety warden at Banff National Park, has seen several accidents involving ice climbing in the 20 years he has worked for the park. “Many beginning ice climbers are not aware of the avalanche hazard,” said Ledwedge. “It’s not uncommon to see people on ice routes

JUST FOR CANADIAN DOCTORS WINTER 2014

when they shouldn’t be.” He’s also seen many leg and ankle injuries caused by ice climbing. The gripping nature of crampons can make them dangerous in a fall. And, for this reason, learning to fall is not taught in ice-climbing courses. You just don’t fall. The next day a fierce arctic storm descends on the Rockies. The outside air temperature is -24C, and dipping to -40C with the wind chill. From the vantage point of the Coffee Mine Cafe, in downtown Canmore, Holeczi and I watch swirling snow and blustery winds pelt those foolhardy enough to venture outside. The local radio station reports all schools are closed. Holeczi has heard it may clear this afternoon. We wait a while and then decide to make a go for it. We drive to Grotto Canyon, another iceclimbing route just outside town. I blindly follow Holeczi through a forest of blowing snow. I’m soon breaking fresh tracks on a frozen creek in a steep-walled canyon. It’s bitterly cold but at least I’m sheltered from the wind. I pass a snow-dusted granite wall with bolts marking a summer rockclimbing route. Holeczi stops and shows me an ochre-coloured native painting. Then I notice icicles hanging off his moustache like a hoary mountaineer of old. We continue up the canyon to the Grotto waterfall we’ve come for. It covers the end of the chasm in a giant jacket of ice. Like enormous steps, the falls are vertical for seven or eight metres, level to a ledge and then another sheer pitch. It will be my first time climbing vertical ice. The surface is wet, and I get good purchase from my crampons. Despite the cold, I move upward, slowly but methodically. I probe for good placement with my picks and stand up on my feet. I feel exhilarated; climbing ice is as exciting as skiing, less work than snowshoeing and easier than rock climbing. The clouds part and the Grotto falls shimmer in the winter sunlight. I glance across and see my shadow, axes swinging, crampons kicking, ice chunks flying. Awesome.

if you go

GO Canmore is a 90-minute drive west of Calgary. DO The ice-climbing season in the Rockies runs from November through March. Yamnuska Mountaineering offers two-day introductory courses in ice climbing starting at $265 including equipment. For more info visit yamnuska.com or call 1-866-678-4164. MORE Check out Tourism Canmore at tourismcanmore. com or call 1-866-226-6673, or get the goods on other ways to get a winter rush across the province at Travel Alberta’s website travelalberta.com.

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OPENING PAGE Guide Steve Holeczi hanging out on a route near Lake Louise. CLOCKWISE FROM TOP LEFT Guide Steve Holeczi climbing a frozen waterfall at Grotto Canyon near Canmore. > Tools of the trade: lightweight, reverse-curve ice axes make ice climbing possible. > Holeczi climbing a route near Lake Louise. Unlike rock climbing, belayers always stand off to one side to avoid being hit by falling ice. > Crampons make climbing vertical ice possible.

WINTER 2014 JUST FOR CANADIAN DOCTORS

THE THIRSTY DOCTOR JANET GYENES Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com

essential bar spirits

Part 2:

the booze OR how to stock your bar

Outﬁt your home bar with the key spirits that make up classic cocktails and mixed drinks

hen I started bartending, no one muddled anything,” says Ryan Boyd of Vancouver’s Metropolitan Bartending School. “The Mojito really changed everything. Once people started squishing up that mint, it opened up a whole universe.” Boyd, a bartender for almost 20 years now and who has trained other budding bartenders worldwide, is explaining how Mojitos ushered in the “bar chef” trend about a decade ago. Today, a number of bartenders have taken the “chef” aspect to intoxicating new heights by barrel-aging spirits, creating infusions with herbs and spices and crafting their own bitters and tinctures, but that’s what makes them pros (and why you’ll never really be able to recreate that “classic” cocktail you taste in your favourite haunt). Unless you aspire to get into mixology as a radical career change or serious past-time, leave such labour-intensive ventures to the experts. Instead, build your home bar with the booze basics, and as your stock expands, so will your cocktail repertoire. There are the dependable spirits—vodka, gin, rum and tequila—ideal for making the tried-and-true, if slightly yawn-inducing cocktails. You know the usual suspects: vodka and soda, gin and tonic, rum and Coke. Add a splash of juice, a dash of soda or squeeze of lime to these booze basics and you’ve got your Screwdriver, Gin Rickey, Greyhound, Cuba Libre… While the quality of the spirit can make a difference in a cocktail, there’s no need to get lured by big-name brands, says Boyd. “It doesn’t mean they’re the best or that you can’t ﬁnd equivalents at lower price points.” He says the average person likely can’t tell the difference from brand to brand, especially with vodka, adding that most industry people drink Ketel One, not Grey Goose, and not just because of price point. Rums and tequilas are slightly different. The sugarcane and agave spirits, respectively, come in a range of colours from clear to amber and almost black. In general, “white rums are the least rum-y ﬂavoured; dark rums tend to be overly syrupy, too sweet. Most of the rum companies put all their

everywhere.” What sets Hendrick’s apart effort into their amber rums,” says Boyd, from most other gins, in particular, are whose current go-to rum is Cruzan Single Barrel, an amber rum that gets its colour, like two ingredients: rose petal and cucumber. “Muddle some cucumber slices in the glass, reposado tequila, from barrel-aging. add gin and soda ….” It’s a simple standout. These spirits can sink or sing dependChoosing whisky (or whiskey) can get ing on how you use them. If you’re making pretty complicated, but you can’t go wrong a Mojito or Margarita for instance, it’s likely summer and you don’t want an overt spirit by covering the bases with a good-quality flavour. So don’t break out your best bottles bottle of each bourbon, rye and scotch. of aged rum or tequila, only to mask their The longer the age, typically, the better nuances with those refreshing juices and the quality, and unless you’re a purist, don’t herbs—the ingredients stress too much about swapyou want to taste on a ping bourbon for Scotch sweltering day. Save the in a pinch. That’s how new seasonal sipping high-end for sipping cocktails are concocted, neat or on the rocks, and after all. NEED A WINTER FIX? Ryan Boyd recommends not-too-sweet white opt for a good-quality Rounding out your cranberry martinis. Hosting a crowd? un-aged spirit instead. home bar with a couple of Avoid endless shaking and pouring: And that’s another liqueurs can expand your mix up a pitcher. rule for the home barcocktail range monumentender. Consider the tally. “About 25 per cent 1 CUP WHITE CRANBERRY JUICE season—and embrace of the drink recipes in the 4 OUNCES VODKA it. You wouldn’t order a world will have Triple Sec 2 OUNCES COINTREAU piña colada at a fine-dinin them,” says Boyd, who Fill a cocktail shaker with ice. Add ing establishment in the implores you to replace cranberry juice, vodka, and Cointreau. dead of winter, would this bottom-basement Shake to combine well. Strain into you? So don’t serve such orange-flavoured liqueur two large martini glasses. Garnish drinks during the cooler with Cointreau, its topwith whole cranberries. months. Something like shelf orange peel-infused Blueberry tea (a soothing equivalent. sipper composed of one “If you want to make ounce each Amaretto Manhattans and Rob Roys and Grand Marnier, and all those Mad Men topped with hot Orange drinks, you need sweet Pekoe tea), which Boyd vermouth,” he adds. (Plus has resurrected as one of the aforementioned his favourite post-repast whiskey.) Dry vermouth is libations, would be handy if you must make spirit stock much more suitable. a classic Martini, but it’s When it comes perfectly acceptable to RYAN’S BASIC BOOZE PICKS to gin’s juniper berryskip it altogether, just like WHISKEY > VODKA > forward flavour, there’s most bartenders do. Add good quality Ketel One plenty of variation from some simple syrup to your Canadian rye or brand to brand. Boyd bar basics (buy it or make GIN > bourbon says Tanqueray No. Ten it yourself: boil equal parts Tanqueray is a high-quality choice sugar and water together, COINTREAU > No. Ten or that’s a solid standby, let cool and store in a jar Cosmopolitans, Hendrick’s but adds, “if you want in the fridge) and you’ll be Margaritas RUM > Bacardi to be experimental with able to impress even the SWEET 8 or Cruzan gin, go with Hendrick’s. most finicky guests with VERMOUTH Single Barrel Because not only is it legions of libations. Just interesting, it’s available don’t forget the garnish. SIMPLE SYRUP TEQUILA >

JUST FOR CANADIAN DOCTORS WINTER 2014

Don Julio

THE HUNGRY DOCTOR DR. FONG Dr. Holly Fong is a practising speech-language pathologist with three young children whoâ&#x20AC;&#x2122;s always trying, adapting and creating dishes.

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LHZ` does it Braising in the oven keeps your hands free for other stuff the taste of the shanks with a last-minute hit of ďŹ&#x201A;avour. Serve the lamb on a bed of sautĂŠed garlicky baby spinach with rice and steamed baby carrots and green beans for a comforting meal. Because the dish has some delicate lemony herbal ďŹ&#x201A;avours, itâ&#x20AC;&#x2122;s easy to overpower with a Shiraz. Go with 2009 dâ&#x20AC;&#x2122;Arryâ&#x20AC;&#x2122;s Original, an Australian-Shirazand-Grenache-blend from old vines. It opens with a nose of berry with a slight ďŹ&#x201A;oral hint and, on the palate, has a velvety mouth feel with tastes of berries and plums followed by a long ďŹ nish of spice with a touch of chocolate. Overall, 'RQÂˇW this nuanced RYHUSRZHU wine pairs GHOLFDWHO\ Ă DYRXUHG perfectly with ODPE VKDQNV JR ZLWK the lamb. GÂˇ$UU\ÂˇV 2ULJLQDO

6 large lamb shanks 2 Tablespoons canola oil 2 large onions, peeled and thinly sliced 6 cloves garlic, peeled and smashed with the back of a knife 4 anchovy ďŹ llets packed in oil, rinsed, dried and coarsely chopped 1 teaspoon slivered lemon zest juice of Â˝ lemon 1 teaspoon of fresh thyme leaves, chopped salt and fresh ground pepper to taste 1 Â˝ cups of dry white wine 1 Â˝ cups low salt chicken broth GREMOLATA

1 large clove of garlic, ďŹ nely minced or grated grated zest from 2 lemons É? cup of chopped Italian parsley leaves Âź teaspoon salt fresh ground pepper to taste

Preheat oven to 300F. Pat lamb shanks dry with paper towel; season with about 2 teaspoons of salt. Heat the oil in a very large heavy bottomed ďŹ&#x201A;ame-proof oven casserole or Dutch oven large enough to hold the shanks in a single layer without touching. When the oil is shimmering, add the lamb and brown well for about 4 â&#x20AC;&#x201C; 5 minutes per side. Set aside. Reduce heat to medium and in same pot, add more oil if needed. Add onions, garlic and Âź teaspoon of salt. SautĂŠ, stirring frequently until golden brown, about 6 â&#x20AC;&#x201C; 7 minutes. Take care to not burn the vegetables. Stir in anchovies and white wine, scrapping off any brown bits into the wine. Increase the heat to medium-high and boil until the wine is reduced by half. Add lemon zest, juice, broth and thyme, stirring to mix. Bring to a boil. Turn off heat. Add the lamb in a single layer. Cover the pot with aluminum foil and

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crimp along the edges making a tight seal to minimize evaporation. Bake in the oven for about 2 hours until the meat is fork tender. Transfer the meat to a serving dish and cover with plastic wrap or foil to keep warm. With a wooden spoon or spatula, scrape down sides and bottom of the pan to release all the browned bits. Strain juices into a tall measuring cup, pushing down on the solids to extract all the juice. Place the solids in a small saucepan. While waiting for the fat to rise, make the lemon gremolata by combining all the ingredients in a small serving bowl. Skim off and discard the fat from the juices. Add the juices to the solids in the saucepan and heat to boiling. Remove from the heat and blend until smooth using a handheld blender. Pour sauce over the meat and scatter gremolata on top. Serve at once with extra gremolata on the side. Enjoy.

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BRAISED LAMB SHANKS WITH ONIONS AND LEMON GREMOLATA (SERVES 6)

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ometimes on busy weekends, itâ&#x20AC;&#x2122;s hard to make an â&#x20AC;&#x153;easyâ&#x20AC;? dinner thatâ&#x20AC;&#x2122;s special. So when I saw lamb shanks on sale at the butchers, I knew I had dinner made. Braised in the oven, lamb shanks will cook for about 2 hours, unattended. And itâ&#x20AC;&#x2122;s the perfect dish when three children are demanding help with other various projects. As aromas develop and waft through the house, appetites are whetted and homework seems to be completed sooner than later. Braising shanks in a little liquid over low even heat will yield fork-tender meat and a ridiculously tasty sauce. Instead of the usual tomato based sauce (especially if pasta is a standby), I used dry white wine, anchovies, lemons, parsley, garlic and lots of onions, to create a mellow rich sauce. The onions melt and add body to the sauce without the need for ďŹ&#x201A;our or cream. An added lemon gremolata at the end accentuates

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WINTER 2014 JUST FOR CANADIAN DOCTORS

travel the world

JUST FOR CANADIAN DOCTORS WINTER 2014

travel the world

GO BIG ON HAWAII’S KOHALA

COAST STORY

+ PHOTOGRAPHY BARB SLIGL WINTER 2014 JUST FOR CANADIAN DOCTORS

travel the world he Big Island is, yes, big. In terms of size (the rest of the Hawaiian islands would all ﬁt within its mass) and diversity (it has all but two of the world’s climate zones). That range—from sugar-like beach to snow-topped mountain and churning volcanic crater—is what makes the Big Island a big must. And that range extends to all parts of island living. You can nosh on exquisite farm-to-fork fare at a highend resort or pick up a still-warm malasada served in a paper bag from a hole-in-the-wall bakery. You can succumb to an open-air lomi lomi massage at a world-renowned spa or take a spin in a Jeep to a very-off-the-beatenpath green-sand beach. You can watch the sun go down alongside hula dancing seaside or jump off cliffs while locals ﬁsh where ancient Hawaiians once did. Star gaze or surf, golf or hike, beach it or crater it… So, where to start? First, set up base on the Kohala Coast. This once barren, lavaencrusted landscape on the island’s west side has been transformed into a resort oasis, making for some sweet and surreal hideaways tucked amidst the piles of black rock. From here, it’s an easy day’s outing north, south and east—to lush and quiet North Kohala, the remote cliffs and still-roiling chasms of Kua, vibrant Kona and rainy and rich Hilo and Hamakua Coast. That is, if you can tear yourself away from your west-side idyll… Here are our picks on the Kohala Coast and beyond.

STAY If anything, you may have too many choices on this Gold Coast. Carved out of one of the island’s past lava ﬂows, this string of resorts on the northwest coast began when Laurance S. Rockefeller spied the perfect crescent of Kauna’oa Beach from the air IF YOU GO The and said “Every Kohala Coast is also great beach known as the Gold deserves a great hotel.” Coast…for good reason. He went on Think golden weather + to build the S\_L WYVWLY[PLZ! Mauna Kea kohalacoastresorts. Beach Hotel in com 1965…and the rest is history. Today the resort retains an exclusive elegance and the beach is listed among the top-10 US beaches by Condé Nast Traveler. {maunakeabeachhotel.com} A short trek along rocky shoreline, past ancient ruins and modern mansions, brings 20

you to the perhaps-even-more-jaw-dropping overly commercialized extravaganzas that Hapuna Beach. The largest white-sand beach can verge on cheesy, the traditional luau is still a window on historic Hawaiian culture, on the island, it’s home to the Mauna Kea’s and if you’ve never been to one, the sunset sister property, the Hapuna Beach Prince Hotel. {HapunaBeachPrinceHotel.com} But here, it’s luau at Waikoloa Beach Marriott Resort & Spa is as good a place as any—or better with its all about the beach, beloved by locals and backdrop of an Anaeho‘omalu Bay sunset. visitors alike and a primo sunset-viewing spot {WaikoloaBeachMarriott.com} and morning barefoot-jogging circuit. On the opposite end of the Kohala Coast, in the south (and only 15 minutes from the RELAX There might be nothing city centre and airport of Kona), is the Four better than simply setting yourself up seaside Seasons Resort Hualalai, where the seaside back at the Four Seasons’ central, adult-only suites feel more like hales (Hawaiian homes) pool. You can see the waves crashing onto than a hotel. After a recent multi-million-dolthe beach (and a lollygagging turtle or two), lar refurb, this resort is all about pampering— yet you’re sand-free on a plush lounge chair from the sushi bar to the spa. The beach is no under an umbrella awaiting Evian water Hapuna but the seaside pools spritzes and little amuseand King’s Pond, stocked with PREVIOUS PAGE Beach bouche style treats. The lounging at the Four tropical fish and a spotted service is such that you’ll be Seasons Resort eagle ray you can snorkel with, offered sunglasses clean/\HS͊SHP H[ /PZ[VYPJ more than make up for it. ing… Plan on wiling away 2Hº΍W΍SLO\ OPPOSITE {fourseasons.com/hualalai} an entire day from your PAGE, CLOCKWISE FROM There’s an even more poolside-perch. TOP LEFT The entrance homey hale vibe at the Lava The same might be said to the Four Seasons, Lava Beach Club Cottages, all along the Kohala Coast, amidst lava rock and which mesh old-school but at those Lava Lava Beach an endemic wiliwili tree. Hawaiiana cool and stylish Club cottages, the cushy > Watching sunset swank. Each cottage boasts at Hapuna Beach, chairs on your private porch local art, a ukulele (go ahead consistently listed as are made for sunset viewing one of the world’s and strum for the beach club while sipping a Mai Tai. It’s best strips of sand. > crowd), punee (Hawaiian your own bungalow…on a Seaside pool at the day bed), take-home pareo beach! Anaeho’omalu Bay’s Four Seasons. > One of or sarong (thank you very sunsets are legendary, and the Fairmont Orchid’s much) and a private, lava-wallmade even more so with the local “beach boys.” > enclosed outdoor shower. You Beach Club’s sundown hula .YHMÄ[P )PN 0ZSHUK Z[`SL won’t want to leave. {lavalavaand live-music show right on using shells and coral beachclub.com} the sand. The atmosphere along the highway up is so cheery, with a humthe Kohala Coast. > ming crowd scattered about PLAY Want to hang Classic cocktail, the the sand (the Beach Club’s Mai Tai at Merriman’s, with a bonafide “beach boy”? the godfather of farmversion of a patio), that the Do the Hawaiian Outrigger to-fork cuisine on the temptation is to get up off Canoe Paddling Adventure Big Island. > Kauna’oa your personal porch and join at The Fairmont Orchid. You’ll Beach (aka Mauna Kea the convivial vibe. Almost… meet champion Hui Holokai Beach), also on the Of course, to relax is Ambassadors (The Fairmont’s short list of world’s best synonymous with a spa. Each water experts), who’ll teach beaches. > Sunset from resort has its own version of you the basics of this quintesAnaeho’omalu Bay at lomi lomi and wrap this, zen sential Hawaii sport. You’ll the Lava Lava Beach that. Mix it up by heading to Club. > Outdoor shower ply the crystalline waters to yet another Kohala Coast reat a Lava Lava Beach in-the-know snorkel spots and sort, Hilton Waikoloa Village’s Club cottage. > Fresh maybe learn some local lingo Kohala Spa to feel the sea SVJHS ÅV^LYZ H[ [OL along the way, brah. {Fairmont. Mauna Lani Spa. breeze during an outdoor com/Orchid} treatment (ahhh!). Then There’s also SUP (stand-up there’s the Mauna Lani Spa. A day spa retreat, paddleboarding), surfing, tennis, golf, biking this gem has been ranked one of the world’s (you’ll be sharing the road with Ironman best spas by Travel + Leisure magazine. Here trainees), snorkelling (unbelievable), diving, culture and chic mix with thatched open-air windsurfing, kite-surfing (which you can also hales, natural lava saunas, a meditation pavilsimply content yourself to watch from your Lava Lava Beach Club perch)…take your pick. ion and watsu pool. Aloha! {MaunaLani.com} After burning calories (in the most fun way possible), load up again at a luau. While some of these celebrations have become

JUST FOR CANADIAN DOCTORS WINTER 2014

EXPLORE The north end of the Kohala Coast is king’s country. >> PAGE 24

travel the world MORE BIG ISLAND BLISS

6 1

1 UPCOUNTRY CHIC Overlooking the west-coast sprawl of Kona, in the thick of the legendary Kona Coffee Belt, is a IP[ VM \UL_WLJ[LK WHYHKPZL /VS\HSVH 0UU is set on the slopes of Mount Hualalai, WHY[ JVMMLL LZ[H[L HUK WHY[ S\_L ) ) boutique resort. You could spend all day just soaking up the high-above-it-all jungle vibe, meandering through tropical gardens redolent with torch ginger, papaya, avocado, macadamia-nut trees (crack â&#x20AC;&#x2DC;em and eat fresh on site!) 5 and some 5,100 coffee trees. There are 30 lush acres here, including pasture landâ&#x20AC;Ś so poolside you might hear a moo or two. Inside, the inn is a Polynesian retreat full of gorgeous artifacts and treasures (it was once a private estate), and just past the driveway is historic Holualoa Villageâ&#x20AC;&#x2122;s shops, galleries and farm-to-fork eateries. holualoainn.com 2 VOLCANIC WONDER What might be the most mind-bending thing about the Big Island is the fact that it is literally churning. At the southern tip of the PZSHUK PZ H Ă&#x201E;YL^VYRZ ZOV^ JV\Y[LZ` VM Pele, the Hawaiian Goddess of Fire, at Hawaii Volcanoes National Park. Surreal. Where else can you walk across a crusted-over lava lake? Get eruption updates and trail info at nps.gov/havo.

3 MALASADAS On the northeastern end of the island, stop in the cute town of Honokaâ&#x20AC;&#x2122;a (once a thriving sugar plantation) for this local classic and Z^LL[ [YLH[ (Z [OL` ZH` H[ ;L_ +YP]L 0U â&#x20AC;&#x153;ono Kine grindzâ&#x20AC;? (good local grub). texdriveinhawaii.com 4 KONA BREWING After a day of surf and sun, itâ&#x20AC;&#x2122;s time for some suds at Kona Brewing Co. Try the nutty, almost-toffeelike winter seasonal Koko Brown, brewed with toasted coconut. Or go for H ILLY Ă&#x2026;PNO[ HSVUN ^P[O ZVTL Ă&#x201E;ZO [HJVZ to taste the wide range of island-inspired concoctions, from Big Wave Golden Ale to Pipeline Porter. konabrewingco.com

4 2

6 EXTREME GREEN Ever seen a green sand beach? The Big Island has one of the worldâ&#x20AC;&#x2122;s two. Half the discovery is the trek beyond South Point (the southernmost part of the US) along moonscapelike coast (hike or brave with a 4WD Jeep) to the remote remains of this ancient cinder cone. greensandbeachhawaii.com

The Big Island is Hawaiiâ&#x20AC;&#x2122;s most diverse with all but two of the worldâ&#x20AC;&#x2122;s climate zones. Discover more at gohawaii.com/ big-island.

RANCH IT Go north to panioloâ&#x20AC;&#x201D;thatâ&#x20AC;&#x2122;s Hawaiian for cowboyâ&#x20AC;&#x201D;paradise at Puakea Ranch in North Kohala. Itâ&#x20AC;&#x2122;s also an equestrianâ&#x20AC;&#x2122;s dream. See page 5. puakearanch.com 7

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Snowbird, Utah March 5–9, 2014

EXCITING CME ADVENTURES WORLDWIDE Learn Wilderness Medicine on an epic journey! Everest Base Camp Trek CME March 30 – April 16, and April 19 – May 6 , 2014

Fiji Scuba and Snorkel CME January 22 – 31, 2015

Galapagos Islands CME January 9 – 19, 2015

Africa Wildlife Safari CME with optional Kilimanjaro Climb October 5 – 19, 2014

Argentina & Chile CME: Northern Patagonia Multi Sport Adventure January 28 – February 5, 2015

travel the world Headache Cooperative of the Pacific Seventh Annual Winter Conference January 31 - February 1, 2014 Registration: www.hcop.com; info@hcop.com

From Bed to Bench and Back Topics Include: Keynote Address - K. Michael Welch, M.B., Ch.B Role of Glia in Pain - Linda Watkins, Ph.D Role of Glia in Headache - Andrew Charles, MD Stroke and Migraine - Gretchen Tietjen, MD Hallucinogens and Marijuana for Headache Brian McGeeney, MD, MPH How to Select Migraine Preventives - Judy Lane, MD Highlights from Headache and Cephalalgia John Rothrock, MD Four Seasons Hotel San Francisco 757 Market Street San Francisco, CA 94103 415-633-3000 www.fourseasons.com

Vacation CME &BSO VQ UP $'1$ .BJOQSP $ DSFEJUT

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JUST FOR CANADIAN DOCTORS WINTER 2014

>> PAGE 20 Stand below Pu`ukohola Heiau and make like legendary King Kamehameha. This temple is a reminder of Hawaiiâ&#x20AC;&#x2122;s rich Polynesian past, and that tie seems even stronger knowing that Kamehameha was born just north of this sacred spot. Come early morning and you might spot sharks still swimming over an ancient submerged temple that was dedicated to the shark gods. {nps.gov/puhe} Kamehameha the Great looms large all along the Kohala Coast and beyond. Mamalahoa Trail or the Kingâ&#x20AC;&#x2122;s Highway (part of the Alu Kahakai National Historic Trail) cuts right through lava rock and manicured resort- and golfscapes past scores of petroglyphs (see below). {nps.gov/alka} From just about anywhere on the Kohala Coast youâ&#x20AC;&#x2122;ll catch glimpses of the twin volcanoes of Mauna Kea and Mauna Loa looming in the distance. Donâ&#x20AC;&#x2122;t be a stranger. Arrange a guided hike with Hawaii Forest & Trail to venture closer, or skirt Mauna Kea and go north on the Kohala Waterfalls Adventure to see a different Hawaiian countryside (think old sugar plantations, taro terraces, waterfalls, pools, wet-and-wild valleys) and the charming town of Hawi. {Hawaii-Forest.com} Or head south to a still-churning volcano (see page 22).

SAVOUR The Big Island is becoming known for big-name cuisine. Merrimanâ&#x20AC;&#x2122;s Market CafĂŠ has the renowned locally sourced fare of famed Chef Peter Merriman, one of the founders of Hawaii regional cuisine. It also has a tasty take on the Mai Tai. When in Hawaiiâ&#x20AC;Ś {merrimanshawaii.com} And then thereâ&#x20AC;&#x2122;s â&#x20AC;&#x2DC;ULU Ocean Grill at the Four Seasons, the Kohala Coastâ&#x20AC;&#x2122;s go-to eatery. Order makai, from the ocean, for local seafood like the Kona White Abalone with coconut and kafďŹ r lime. The goal is â&#x20AC;&#x153;R.S.A.â&#x20AC;&#x201D; Regional, Seasonal and Artisanalâ&#x20AC;? cuisine from more than 160 farmers and ďŹ shermen on the Big Island; 75% of the menu features local, sustainable dining. {uluoceangrill.com} Of course, you canâ&#x20AC;&#x2122;t beat a ďŹ sh taco in Hawaii. On the Kohala Coast, the unassuming Kohala Burger and Taco wonâ&#x20AC;&#x2122;t disappoint. {kohalaburgerandtaco.com} Whether the goal is to stay, play, relax, explore or savour, your choice is bigâ&#x20AC;&#x201D;Big Island big.

whistler / new york / munich / tibet / kona … |

calendar

CME

AN INTERNATIONAL GUIDE TO CONTINUING MEDICA L EDUCATION

winter 2014 + beyond CLOCKWISE FROM FAR LEFT

Inukshuk on Whistler Mountain with Black Tusk in the background; gourmet fare at the Chef’s Challenge during Cornucopia; snowboarder atop Whistler Peak; ice bar at the Bearfoot Bistro in Whistler Village; the wow- and vertigoinducing Peak 2 Peak gondola from Whistler to Blackcomb.

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PHOTOS: TOURISM WHISTLER / MIKE CRANE

hen it’s a “bluebird” day at Whistler, there’s no place better. Blue skies, 360-degree views, crisp mountain air, unlimited terrain, fresh tracks… This is why Whistler Blackcomb ranks as one of the top— and most popular—mountain resorts in the world. And if the 8,171 acres (with 16 alpine bowls and three glaciers), 2,284 metres of elevation, 1,609 metres of vertical, 11.74 metres of snow, 200-plus trails and 37 lifts (including two new high-speed chairs this season) just aren’t enough for you, there’s also Whistler HeliSkiing, with access to seriously big mountain terrain that covers some 173 glaciers and another 475 runs. If you want to go beyond that still, Whistler is now part of the exclusive Mountain Collective. For the skier who likes to break new ground, this is the ultimate ski pass with two days of supreme skiing at the best mountain resorts in the world—think Aspen, Jackson Hole, Squaw Valley and, of course, Whistler. And at US$379 it’s a ski bum’s dream. Another skier’s dream? Spending the day shredding

the snow with an Olympian, of course. With the Sochi 2014 Winter Olympics coming up, Whistler Blackcomb looks back to its 2010 glory and lets you channel your inner gold medalist by skiing with one. The “Ski With An Olympian” Snow School program offers full-day sessions with local Olympians like legendary Rob Boyd and 2010 ski-cross gold medalist Ashleigh McIvor. If that’s out of your league, there’s The Camp. A combo of two of the top ski camps in North America, Dave Murray and Ski Esprit, it’s a multi-day program of slalomrace coaching for avid skiers that includes private hill space, video analysis and race-course training—capped with the traditional Whistler après experience. There’s also the testosterone-free two-day Arc’teryx Women’s Camp. No excuse not to tear up those trails! Don’t want to ski? There’s ice skating, ziplining, snowmobile tours, horse-drawn sleigh rides, a tube park, snowshoeing, dogsledding, on-mountain sightseeing via the spectacular Peak 2 Peak gondola, the Squamish Lil’Wat Cultural Centre and the Scandinave Spa (for oh-

so-good après-any-activity soaking). And after all the winter wonder and wander, there’s wine and dine at 6,000 feet. The Winemaker Après Series at Steeps Grill & Wine Bar atop Whistler Mountain pairs BC’s best wine (like NK’MIP and See Ya Later Ranch) with locally sourced fare in a ﬁve-course feast. And, um, at $69 per event, it’s a sell-out with just four dates this winter. But there’s more to Whistler than its formidable ski resort. Whistler Village offers a whole other repertoire of après ski off the mountain—from craft cocktails at Alta Bistro to the ice bar at Bearfoot Bistro. The must-sample Cornucopia fest, which showcases Whistler’s farm-to-fork haute cuisine every November, may have just ﬁnished its revelry, but the fab fare is available year round— whether at the revamped and relocated Tacos la Cantina (mmmm tacos and margaritas) or the expanded and go-to fave Alta Bistro (yummy Rootdown Farms Borlotti Bean Cassoulet). Tuck in! —B. Sligl For more, go to whistlerblackcomb.com and whistler.com.

WINTER 2014 JUST FOR CANADIAN DOCTORS

C M E calendar

Clinical

Medicine Pharmacology

Cardiology

Anesthesiology

Alternative

Aesthetic Medicine

cme

when

where

topic

sponsor

contact

website

Feb 01-02 2014

Vancouver British Columbia

Professional Facial Aesthetics Training

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Feb 24-28 2014

Barrie Ontario

One Week â&#x20AC;&#x153;Everythingâ&#x20AC;? Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martinâ&#x20AC;&#x2122;s Training Centre Canada

800-627-3309 See Ad Page 35

botoxtrainingcanada.com

Mar 31Apr 04 2014

Barrie Ontario

One Week â&#x20AC;&#x153;Everythingâ&#x20AC;? Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martinâ&#x20AC;&#x2122;s Training Centre Canada

800-627-3309 See Ad Page 35

botoxtrainingcanada.com

Apr 12-13 2014

Vancouver British Columbia

Professional Facial Aesthetics Training

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Jan 24 2014

Victoria British Columbia

Spiritual Care Conference

Victoria Hospice Society

250-370-8715

victoriahospice. org

Jan 29 2014

San Diego California

Pre-Conference: Bringing Integrative Medicine To Your Practice And Health Care System

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Jul 2014

Tuscany Italy

EatBreatheThink Wellness Retreat

416-910-4513

eatbreathethink.com

Jan 19-24 2014

St. Thomas USVI

Caribbean Seminar In Anesthesiology

Frank Moya Continuing Education

954-763-8003

currentreviews. com

Feb 12-15 2014

Scottsdale Arizona

Symposium On Anesthesia And Perioperative Medicine

Mayo Clinic in Rochester, Minnesota

800-323-2688

mayo.edu/cme

Feb 16-20 2014

Kona Hawaii

Relevant Topics In Anesthesia

Northwest Anesthesia Seminars, Inc.

509-547-7065

nwas.com

Jan 30-31 2014

Geneva Switzerland

Angiogenesis And Leukocytes In Atherosclerosis

Abcam Events Team

011-44-122369-6000

abcam.com

Feb 06-07 2014

San Diego California

Structural Heart Intervention And Imaging 2014

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Sep 11-21 2014

Danube River Cruise

Cardiology, Nephrology, Medical-Legal

Sea Courses Cruises

888-647-7327

seacourses. com

Jan 30Feb 13 2015

Australia and New Zealand Cruise

2015 Updates In Pulmonary And Critical Care Medicine For Primary Care Providers

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Jan 22-23 2014

London England

2014 Smart Trials

Active Communications International

011-44-203141-0623

wplgroup.com

Apr 29May 04 2014

Las Vegas Nevada

Pharmacology For Advanced Practice Clinicians

Contemporary Forums

800-377-7707

contemporaryforums.com

new CME list from Adam EatBreatheThink

CARIBBEAN BALTIC & RUSSIA MEDITERRANEAN FRANCE & SPAIN JAPAN & CHINA For current pricing & promotions contact

www.seacourses .com

JUST FOR CANADIAN DOCTORS WINTER 2014

MARCH

Sea Courses CME

JUNE

Innovative

JULY

Pharma-free

SEPTEMBER

Accredited

OCTOBER

Relevant

GALAPAGOS ALASKA

DANUBE RIVER BERMUDA

CHINA & TIBET INDA & SRI LANKA

Medicine

General & Family

Gastroenterology

Endocrinology

Emergency Medicine

Diabetes

cme

calendar

CME

when

where

topic

sponsor

contact

website

Feb 22Mar 04 2014

Caribbean Cruise

Cardiovascular 2014 Focus On Diabetes

CMEatSEA

888-523-3732 See Ad Page 29

cmeatsea.org

Apr 23-29 2014

San Diego California

Five Day Comprehensive Diabetes Education And Management Program

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Jun 27-29 2014

Charleston South Carolina

17th Annual Hypertension, Diabetes And Dyslipidemia Conference

Continuing Education Company

800-327-4502

cmemeeting. org

Jan 25-26 2014

San Antonio Texas

Hospitalist And Emergency Procedures CME course

Hospital Procedures Consultants

805-339-0225

hospitalprocedures.org

Feb 23-26 2014

Whistler British Columbia

Annual Update In Emergency Medicine

University of Toronto

888-512-8173

cepdtoronto.ca

Feb 11-15 2014

New York New York

XL %RRYEP 7GMIRXM½G %WWIQFP] 3J %QIVMGER Academy Of Emergency Medicine (AAEM)

American Academy of Emergency Medicine

800-884-2236

aaem.org

Feb 28Mar 01 2014

Sacramento California

40th Annual UC Davis Diabetes And Endocrinology Symposium

UC Davis Health System

916-734-5390

ucdmc.ucdavis. edu

Mar 13-15 2014

Munich Germany

2014 Power Of Programming: International Conference On Developmental Origins Of Adiposity & Long-Term Health

Project EarlyNutrition Secretariat

earlynutrition@med. lmu.de

munich2014. project-earlynutrition.eu

May 10-26 2014

China and Tibet Cruise

Endocrinology & Respirology

Sea Courses Cruises

888-647-7327

seacourses. com

Feb 06-09 2014

Scottsdale Arizona

2014 North American Society For Pediatric, Gastroenterology, Hepatology & Nutrition (NASPGHAN) 3rd Year Fellows Conference

NASPGHAN

215-233-0808

naspghan.org

Mar 13-16 2014

Orlando Florida

Gastroenterology & Hepatology 2014

Mayo Clinic in Arizona

480-301-4580

mayo.edu/cme

Apr 26May 03 2014

Galapagos Cruise

Gastroenterology & Rheumatology

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Jul 19-20 2014

Monterey California

2014 Update in Gastroenterology and Hepatology for the Primary Care Practitioner

UC Davis Health System

916-734-5390

ucdmc.ucdavis. edu

Dec 27-29

New York New York

Dermatology For The Non Dermatologist

MCE Conferences

888-533-9031

mceconferences.com

Jan 06-13 2014

Cortina d’Ampezzo Italy

8LI XL %RRYEP )YVSTI 4EGM½G 1IHMGEP 0IKEP Conference

Conferences 21

011-61-7-32543331

conferences21. com

Jan 09-11 2014

Whistler British Columbia

Medical CBT For Depression: Ten-Minute Techniques for Real Doctors

CBT Canada

877-466-8228

cbt.ca

Jan 17 2014

Rochester Minnesota

Findling Lectureship: Educating Medical Providers About The Clinical Care Of Transgender And Intersex People

Mayo Clinic in Rochester, Minnesota

800-323-2688 See Ad Page 2

mayo.edu/cme

new CME list from Adam

For the past 20 years, our Primary Care Conferences have been designed to educate primary care physicians, with a focus on practical and useful information for clinical practice. Choose from three upcoming 2014 conferences. 9th Annual Primary Care Update Westin Maui Resort & Spa Ka’anapali Beach, Lahaina, Maui March 3-7

Primary Care Essentials Wailea Beach Marriott Resort Wailea, Maui March 10-14

17th Annual Primary Care Update Marco Island Resort & Spa, Marco Island, Florida March 24-28 March 31-April 4 April 7-11

Continuing Medical Education Institute 952.948.1685 • www.CMEIconference.org WINTER 2014 JUST FOR CANADIAN DOCTORS

C M E calendar

Medicine Diseases

Internal Medicine

Infectious and Chronic

Hematology

General & Family

cme

when

where

topic

sponsor

contact

website

Jan 31Feb 01 2014

San Francisco California

7th Annual Winter Conference: From Bed To Bench And Back

Headache Cooperative SJ XLI 4EGM½G

760-942-1390 See Ad Page 24

hcop.com

Feb 18Mar 05 2014

Vietnam and Cambodia River Cruise

Healthcare Delivery

Professional Education Society

877-737-7005

pestravel.com

Feb 21 2014

Ottawa Ontario

7th Annual Clinical Day

Academy of Medicine Ottawa

613-733-9083 See Ad Page 35

academymedicineottawa.org

Mar 24-26 2014

Maui Hawaii

Medical CBT For Depression: Ten-Minute Techniques for Real Doctors

CBT Canada

877-466-8228 See Ad Page 24

cbt.ca

Mar 24-28 2014

Marco Island Florida

17th Annual Primary Care Update - Session 1 Mar 24-28, Mar 31-Apr 04 or Apr 07-11

Continuing Medical Education Institute

952-948-1685

cmeiconference.org

May 05 2014

Singapore Singapore

Developing A Career In Academic Surgery Course

Royal Australasian College Of Surgeons

61-3-9249-1273 See Ad Page 4

racsanzca2014. com

May 05-09 2014

Singapore Singapore

Royal Australasian College Of Surgeons, Annual 7GMIRXM½G 'SRKVIWW %RH Australian And New Zealand College Of %REIWXLIXMWXW %RRYEP 7GMIRXM½G 1IIXMRK

Royal Australasian

61-3-9276-7406 See Ad Page 4

racsanzca2014. com

Jun 29Jul 07 2014

Galapagos Cruise

Current Medical Issues

Professional Education Society

877-737-7005

pestravel.com

Feb 21 2014

Las Vegas Nevada

Expert Reviews In Hematology 2014: Highlights From The Annual Hematology Meeting

Imedex

770-751-7332

imedex.com

May 14-17 2014

Chicago Illinois

27th Annual American Society Of Pediatric Hematology Oncology Meeting: ASPHO 2014

American Society of Pediatric Hematology/ Oncology

847-375-4716

aspho.org

Aug 15 2014

San Diego California

Chronic Disease Management in Diverse Populations

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Sep 10-20 2014

Ireland Cruise

Updates in Disease Prevention & Public Healthcare Delivery - Explore The Emerald Isle

Professional Education Society

877-737-7005

pestravel.com

Nov 08-15 2014

Tahiti Cruise

Updates in Disease Prevention & Public Healthcare Delivery

Professional Education Society

877-737-7005

pestravel.com

Mar 08-15 2014

Eastern Caribbean Cruise

Potpourri Of Recent Advances In Internal Medicine Update 2014

CMEatSEA

888-523-3732 See Ad Page 29

cmeatsea.org

Mar 26-29 2014

Scottsdale Arizona

25th Annual Clinical Reviews - A Family Medicine And Internal Medicine Update

Mayo Clinic in Scottsdale, Arizona

480-301-4580 See Ad Page 2

mayo.edu/cme

May 12-15 2014

Paris France

Internal Medicine For Primary Care: ID/CV/ Vasc/Neuro

Medical Education Resources

303-798-9682

mer.org

Of Surgeons new CME list from College Adam

JUST FOR CANADIAN DOCTORS WINTER 2014

Oncology &

Ethics Gynecology

Pediatrics

Palliative Care

Obstetrics &

Nutrition

Neurology

Legal and

cme

calendar

CME

when

where

topic

sponsor

contact

website

Aug 03-10 2014

St. Petersburg Russia

East West Medical & Legal Conference

Conferences 21

011-61-7-32543331

conferences21. com

Nov 06-08 2014

Las Vegas Nevada

Birth Injuries, The Law And Perinatal Safety

Contemporary Forums

800-377-7707

contemporaryforums.com

Feb 02-16 2014

Australia and New Zealand Cruise

Neurology And Pain Management

Continuing Education, Inc./University at Sea

800-422-0711

continuingeducation.net

Feb 19-22 2014

San Juan Puerto Rico

65th Southern Neurosurgical Society (SNS) Annual Meeting

Southern Neurosurgical Society

630-681-1040

southernneurosurgery.org

Jan 18-21 2014

Savannah Georgia

Clinical Nutrition Week 2014 (CNW14)

American Society for Parenteral and Enteral Nutrition

301-587-6315

nutritioncare. org

Apr 26-30 2014

San Diego California

78th American Society For Nutrition (ASN) 7GMIRXM½G Sessions & Annual Meeting

American Society For Nutrition

301-634-7050

nutrition.org

Jan 19Feb 02 2014

South American Cruise

Pain Management & Women’s Health Update 2014

CMEatSEA

888-523-3732

cmeatsea.org

Mar 14-16 2014

Lake Buena Vista Florida

40th Annual Virginia Apgar Seminar

954-763-8003

currentreviews. com

Jul 27-30 2014

Jackson Hole Wyoming

3J½GI +]RIGSPSK]

Contemporary Forums

800-377-7707

contemporaryforums.com

Feb 04-06 2014

Paris France

25th International Congress On Anti-Cancer Treatment 2014

International Medical Events

33-1-47-4350-00

icact.com

Feb 17-21 2014

Victoria British Columbia

Psychosocial Care Of The Dying And Bereaved

Victoria Hospice Society

250-370-8715 See Ad Page 30

victoriahospice. org

Mar 03-07 2014

Richmond British Columbia

Palliative Care: Medical Intensive Course

Victoria Hospice Society

250-370-8715 See Ad Page 30

victoriahospice. org

Oct 18-25 2014

Tahiti and Society Islands Cruise

Primary Care Including Topics in Palliative Care

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Oct 20-24 2014

Victoria British Columbia

Psychosocial Care Of The Dying And Bereaved

Victoria Hospice Society

250-370-8715

victoriahospice. org

Nov 14-18 2014

Victoria British Columbia

Palliative Care: Medical Intensive Course

Victoria Hospice Society

250-370-8715 See Ad Page 30

victoriahospice. org

Ongoing

Multiple Cities Colombia

Capacity Building Internship For HIV/AIDS Orphanage (Volunteer Opportunity)

The Humanity Exchange

778-300-2466

thehumanityexchange.org

Mar 09-12 2014

Phoenix Arizona

18th Annual Children’s Neuroscience Symposium

Barrow Neurological Institute at Phoenix Children’s Hospital

602-933-0923

phoenixchildrens.org

Moya Continuing new CME list from Frank Adam Education

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*Air Included from select North American Gateways. All funds in USD. **Free Beverage Package for Two applies to two guests per stateroom and includes beers up to $5 per serving; spirits, cocktails, and wine up to $8 per serving, all soda selections, fresh squeezed and bottled juices, premium coffees, and teas and non-premium bottled water. Server gratuities are included (amount based on gratuity guidelines). Offer applies to ocean view and higher staterooms CMEatSEA reserves the right to make changes, correct errors or omissions. BPCPA #28364.

WINTER 2014 JUST FOR CANADIAN DOCTORS

C M E calendar

Medicine

Psychiatry/ Wilderness

Technology

Radiology

Psychology

Primary Care

cme

when

where

topic

sponsor

contact

website

Feb 03-07 2014

Marco Island Florida

2nd Annual Essentials In Primary Care Winter Conference

Continuing Education Company

800-327-4502

cmemeeting. org

Feb 17-21 2014

Lahaina Hawaii

2nd Annual Primary Care Winter Conference: Hawaii

Continuing Education Company

800-327-4502 See Ad Page 37

cmemeeting. org

Mar 03-07 2014

Lahaina Hawaii

9th Annual Primary Care Update - Fall Conference

Continuing Medical Education Institute

952-948-1685 See Ad Page 27

cmeiconference.org

Mar 10-14 2014

Wailea Hawaii

Primary Care Essentials

Continuing Medical Education Institute

952-948-1685 See Ad Page 27

cmeiconference.org

Mar 14-24 2014

Eastern Caribbean Cruise

Primary Care Update

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Jun 16-20 2014

Amelia Island Florida

21st Annual Clinical Reviews And Primary Care Update - 2014

Mayo Clinic in Jacksonville, Florida

800-462-9633 See Ad Page 2

mayo.edu/cme

Jul 28Aug01 2014

Big Island Hawaii

5th Annual Essentials In Primary Care: Summer II (New Location)

Continuing Education Company

800-327-4502 See Ad Page 37

cmemeeting. org

Dec 13-20

Caribbean Cruise (Disney Fantasy)

Medical CBT for Anxiety: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228

cbt.ca

Feb 16-26 2015

Tahitian Cruise (Ocean Princess)

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 24

cbt.ca

Jan 23-25 2014

St. Pete Beach Florida

Introduction To Musculoskeletal Ultrasound With Optional Human Cadaver Lab

Gulfcoast Ultrasound Institute

800-619-1900 See Ad Page 31

gcus.com

Jan 23-25 2014

St. Pete Beach Florida

Introduction To Emergency And Critical Care Ultrasound

Gulfcoast Ultrasound Institute

800-619-1900 See Ad Page 31

gcus.com

Feb 01-04 2014

Whistler British Columbia

2014 Musculoskeletal MR And Ultrasound Imaging Course

University of British Columbia

604-875-4111

ubcradcme. com

Apr 02-06 2014

Phoenix Arizona

Laser 2014: 34th ASLMS Annual Conference

American Society for Laser Medicine and Surgery

877-258-6028

aslms.org

Sep 20-21 2014

Jersey City New Jersey

2014 Laser Aesthetics Course

American Society for Laser Medicine and Surgery

877-258-6028

aslms.org

Feb 12-16 2014

Big Sky Montana

Wilderness Medicine

888-995-3088 See Ad Page 23

wildernessmedicine.com

Mar 05-09 2014

Snowbird Utah

Wilderness Medicine

888-995-3088 See Ad Page 23

wildernessmedicine.com

For feedback, requests or to have your course featured please email cme@inprintpublications.com or submit your course via www.justforcanadiandoctors.com

JUST FOR CANADIAN DOCTORS WINTER 2014

S O A P B O X D R . C H R I S P E N G I L LY Dr. Chris Pengilly is Just For Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.

patient perspective How it feels on the other end of the stethoscope

ecently, as a family, my wife, grandson and myself have all become patients, and I am not impressed with the view of our profession from the patient perspective. The actual care is usually good but it’s a tough route to gain an audience with the physician. It begins with a phone call that is, as often as not, answered with “doctor’s office—please hold…” This is not infrequently followed by a repeated message that “your call is important to us” followed by more insincere platitudes. This happening occasionally would be acceptable, but my experience is that an immediate response by a warm body is a rarity. Yes, physicians’ phone lines are busy, but I suggest it would be better for the patient to get a busy signal than to be kept hanging on the line. The caller can then dial *66 and be notified and connected if the line becomes free within a 30-minute window. Furthermore, it makes poor economic sense to pay for more phone lines than there is staff to answer them. The next hurdle is to get an appointment. In family practice, a patient should have ready access to same-day appointments for simple and/or urgent problems, and no longer than a week or two for less urgent matters. As for specialists, offering an appointment a year or more in advance is not reasonable. There’s an answer to this as exemplified by the orthopaedic and physiatry specialists in Victoria, BC. They took over a huge new area of real estate and formed a megagroup. Patients are triaged and referred to whichever discipline and physician seems most appropriate. Several of the orthopods have given up operating; they see patients in the office to work them up ready for one of their colleagues to take them to the OR. It works. All patients are now seen within about a month, and they feel well treated. The next frustration is time spent in the waiting room, euphemistically referred to as the reception area. I like the 15/80 formula. That is, waiting time should be 15 minutes or less 80% or more of the time. Running behind occasionally

is inevitable since physicians have to deal with unpredictable emergencies and unpredictable patient problems. Barring calls to the hospital or urgent house visits, starting the office late is inexcusable. Wave scheduling* will lead to an automatic delay for the last of the “wave.” Even worse, all patients are given the same appointment time, and are routinely advised to anticipate a long wait and to bring a book. At the very least this is insulting to the patient, leading to resentment that may lower the threshold to lodge a complaint in the event of a minor medical misadventure. By the time patients actually get to see us, the physicians, they are usually so relieved that their anger or frustration abates and they realize that they must get their problem dealt with. This leads, unfortunately, to physicians being unaware of the difficulties some patients faced to eventually get the consultation. Physicians’ offices are usually not dealing with average members of society. A noticeable minority of patients can be very trying, but many patients are feeling ill and/or anxious or are in pain. It behooves us to offer some empathy to these patients and convey that we do respect their time and values. Things have changed over the past 10 years. Physician shortage means that any physician, regardless of behaviour or ability, can be assured of enough patients to earn a reasonable living. This can lead to a sense of indifference and even arrogance. If this can be resisted and patients made to feel respected, then not only would the lives of our medical office assistants be much easier, but expensive and distressing law suits and complaints to provincial colleges could occur less often. * Wave booking is when 4 to 6 patients are given the same time appointment, the theory being that the time and complexity will average out at the end of the hour ready for the next wave.

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ofﬁce space/positions/locums RICHMOND, BC: Office space available four days a week for Consultant / Specialist / Podiatrist etc. in a busy group Medical Practice in Richmond BC’s Premier Strip Mall. www.mydoctor.ca/drsinghal We have excellent experienced physician support staff plus our own Information Technology Support staff with a custom EMR for efficiency of practice/ workflow, etc. For Information please phone (604)-448-9595 Email: msinghalmd@gmail.com LONG TERM ASSOCIATE FAMILY PHYSICIAN POSITION: We would welcome a transitioning Richmond Family Physician who wants to move their practice in anticipation of scaling back or wishing to end their current lease with a seamless transition. We would also welcome a physician who wishes to have less administrative headaches with their current practice. We are a Richmond BC collegial group medical practice with EMR and Chronic Disease Nurse as well as excellent support staff. We also have our own Computer Experts with our custom EMR. We anticipate professional satisfaction with excellent earnings. The successful transitioning physician would continue to have their chronic disease patients as the MRP while working in a collegial group. We may also consider new grads. Full support. 70-30 split. www.mydoctor.ca/drsinghal Please phone: (604)-448-9595 Email: msinghalmd@gmail.com REGINA, SK: Prince of Wales Medical Clinic invites family physicians to join busy practice located in East Regina, close to major shopping centers and first class housing. Full-time, parttime or locum basis positions are available. Regular and walk-in patients are accepted. Fully networked EMR, internet accessible system is used to manage patient records. Each office and exam room is equipped with a computer and a printer. ECG and lab facilities are available on site. We have pleasant and efficient staff. The potential for income is excellent with very attractive split. Please contact our office at (306)-546-2005 or e-mail us at princeofwalesclinic@gmail.com REGINA, SK: Family Physicians are invited to join busy Quance East Medical Clinic, located in East Regina, close to major shopping centers and first class housing. Full-time, part-time or locum basis positions are available. Regular and walk-in patients are accepted. Each office and exam room is equipped with a computer and a printer networked with our EMR system. Remote access from home to the EMR is available. ECG and lab facilities are available on site. Our staff is pleasant and efficient. Very attractive split arrangement. Please contact clinic manager at (306)-522-2278 or email us at quanceclinic@yahoo.ca for more information.

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

la dolce vita Start building wealth and stop worrying about the future

eing in the top 1% income bracket in Canada is no guarantee for a dolce vita in retirement. I know of many retired doctors who are solely relying on the Canada Pension and OAS for living expenses. The lack of an adequate retirement nest egg can be traced back to a number of ﬁnancial mistakes made during their careers, predominantly excessive spending and poor investment choices. To avoid the ﬁnancial planning mistakes, you may consider taking these actions:

the total wealth of that class. Keep in mind that goals are only dreams unless they’re implemented. Have you ever wondered why a colleague with less practice income is financially better off than you? She or he most likely has a concrete financial plan that’s actually implemented. Execution is often the Achilles heel in reaching your goals because it requires that you overcome a common affliction: procrastination. Execution means implementing your goals, rather than dreaming or talking about them.

1. MAKE SAVING YOUR #1 PRIORITY

3. USE THE CORPORATION AS THE SAVINGS VEHICLE Use the medical or hold-

Three relevant questions related to this priority. First, is the cost of financing your family’s lifestyle threatening your ability to put money aside? If so, try to liquidate assets that you don’t really need. Second, are you still getting as much use from your sailboat or ski chalet, or have they become a drag on your cash flow? If so, unload these personal items and put more money into your savings instead. Is education financing putting a strain on the family budget? If so, instead of writing family-trust cheques for the tuition, consider limiting your contribution by arranging for a line of credit to be repaid by the children in the future. Generations have followed the timeless financial advice, dispensed by Samuel Clason in his 1926 book, The Richest Man in Babylon, which states: “Live frugally, save 10% of your income, and start early.” If you are having difficulty switching from a spending to a saving habit, contemplate using the “out-of-sightout-of-mind” strategy that many doctors have adopted. This strategy stipulates that the first payment each month from your practice bank account is a deposit into your investment account. I suggest that 15% of your monthly collections is allocated to this account. Never skip a payment; should you be short one month, take it out from your line of credit.

2. SET FINANCIAL TARGETS Putting your goals on paper is critical. The Yale University conducted a study that found that fewer than 5% of one year’s graduating class had developed career goals. When the graduates were surveyed 30 years later, the researchers determined that the individuals who had taken the time to write down their goals owned 90% of

JUST FOR CANADIAN DOCTORS WINTER 2014

ing company as your investment vehicle. Take advantage of the low corporate tax rate by investing all surplus funds in the corporation, and only draw funds for personal and living expenses. If you invest $30,000 of your beforetax income annually in the corporation for 30 years at an interest rate of 6%, the corporate investment will grow to $2 million. If you invest the same income personally, you’ll only have $1.3 million of investments, assuming a corporate and personal tax rate of 14% and 44% respectively. There are additional personal taxes to consider when drawing retirement income from the corporation. However, the tax benefit of corporate investments is significant. Even after factoring in the personal tax on the dividends from the corporation, the after-tax retirement cash flow is estimated to be onethird greater if you invest surplus funds in the corporation.

4. PAY YOURSELF, NOT THE TAXMAN Make sure you take full advantage of the many tax savings and income-splitting benefits incorporation offers you. An accountant’s conservative attitude toward tax planning is a luxury that you cannot afford. Should you find yourself in this predicament, get a second opinion and change advisors. Often, tax savings alone can create a sizeable retirement nest egg—and no requirement on your part to work any harder. It’s worthwhile to spend time on your financial planning, metaphorically described as embarking on an enjoyable money-making journey that enables you to track your progress of building wealth for a retirement free of any money worries.

employment

Ayez du succès dans votre carrière et un équilibre dans votre vie. Choisissez le Nouveau-Brunswick! www.gnb.ca/santé

Bringing dynamic professionals to a great workplace Chatham-Kent Health Alliance is an innovative and progressive, 200-bed community hospital with campuses in Chatham and Wallaceburg. Our focus is Patients, People, Performance and Innovation and our strategic directions support our Vision – An Exceptional Community Hospital. Setting Standards - Exceeding Expectations. We are equipped with state-of-the-art facilities and technologies, and operate at national best practice levels. Come join us to build, grow and advance your career in a workplace where you will be respected and supported. We are recruiting for the following positions: Family Medicine Emergency Medicine Pediatrics Obstetrics & Gynecology Psychiatry Internal Medicine Hospitalist To learn more about us and our community, visit our website at

www.physicianswanted.com Interested applicants should submit a letter of interest, together with a current CV, to: Fannie Vavoulis Medical Recruitment and Education Coordinator fvavoulis@ckha.on.ca

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Seeking a physician to join our interdisciplinary team of physicians, nurse practitioners, registered nurses, registered dietitian, social worker, psychiatrist and support staff in Gananoque, ON. Our physicians are salaried with an excellent benefit package and pension plan.

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Opportunity to make a lifetime of differences As a First Nations woman, I love working in First Nations communities. I feel in a sense, through promoting physical, emotional and spiritual healing in my patients, I am helping to reverse some of the negative effects of our past and contributing to a healthier future. Amdocs is supportive, encourages me to practice in my own way, and is open to learning about my approach.

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Amdocs Physician

For more information about Amdocs practice opportunities, please contact Liz Bilton, Manager, Recruitment

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FLY-IN PHYSICIANS URGENTLY NEEDED IN NORTHERN ONTARIO A dynamic, challenging, ﬂy-in family practice opportunity for individuals who want to practice medicine the way it was meant to be—seeing patients who really need a doctor. You are an experienced physician who is comfortable working in a federal nursing station. You will spend your time making a difference in the lives of First Nations people whose health-care needs are sometimes urgent and always complex. • Controlled and balanced workload: Monday to Friday, average of 20–25 patient encounters/day • Flexible and attractive contract arrangements: full-time, part-time and locums available • Generous northern remuneration package including bonus (full-time physicians annual remuneration 400k+) • No worries about day-to-day practice administration • Relocation & travel assistance • Furnished accommodations & meal allowance

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• Challenging medicine, dynamic & supportive colleagues

employment

Healthy People, Healthy Communities and Service Excellence in an Enduring Health System Heartland is located in west-central Saskatchewan and provides health care services to a population of 44,100. Heartland is home to some of the friendliest communities in the country! We have excellent healthcare services and programs, great recreation, leisure services and schools.

Vacancies: 7 Permanent Full Time Family Medicine Positions Communities: Rosetown, Davidson, Unity, Wilkie, Kindersley, Outlook, Macklin Health Region: Heartland Posting Period: Open October 25, 2013 until filled Minimum Potential Salary: $250,000.00 Method of Payment: Fee For Service Education/Work Experience: All candidates must be eligible for a license by the College of Physicians and Surgeons of Saskatchewan and have completed an internship/residency/post-graduate training in family medicine. Internationally trained physicians must have passed the MCCEE Exam and practices as an active family physician in the last three years. Job Duties: Provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed. Visit our website www.hrha.sk.ca for further details on these Family Physician opportunities.

EXPLORE OUR OPPORTUNITIES FOR FAMILY PHYSICIANS

Prince Edward Island, Canada

Practicing Family Medicine in Prince Edward Island has been described as ‘much more than a job’ by Dr. Peter Hooley, Family Physician of the year 2011. “It’s a calling and a passion and a

privilege partnering with PEI patients and families.”

PEI offers: - Lowest housing costs in the country - Short commute to work - Low crime rates DID YOU KNOW? In 2013, Prince Edward Island has been ranked as Top Island in Continental US & Canada and, with over 30 golf courses, known nationally as Canada’s #1 golf destination. We have opportunities for Family Physicians in various locations on Prince Edward Island. To view these locations, go to healthjobspei.ca.

opportunities

Heartland Health Region is seeking dynamic and committed family physicians to provide services to clients in various communities. Physicians will provide patient care, on call emergency coverage and backup to the physicians in the other areas of the Region if needed.

FAMILY PHYSICIANS

Ask Physician Recruitment Coordinator about incentive packages. smmaclean@gov.pe.ca 902-368-6302

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22 Y E A R S O F PROV I D I NG L I V E CME PRO G RA MS 2nd Annual Essentials in Primary Care Winter Conference

17th Annual Hypertension, Diabetes and Dyslipidemia Conference

$50 VISA winner: Dr. Philippa A. Moss of Tatamagouche, NS

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March 31 - April 4, 2014 Hammock Beach Resort, Palm Coast, Florida

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________________________________________________________________________ E-MAIL: ________________________________________________________________ TEL: ______________________________ FAX: _________________________________ Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied by solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle and entry form to Just For Canadian Doctors, 200 – 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456. Entries must be received no later than March 5, 2014. 3. Prize: $50 Visa gift card. Odds of winning dependent upon number of entries. Winner contacted by telephone and announced in Spring 2014 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its afﬁliates are not eligible to participate. WINTER 2014 JUST FOR CANADIAN DOCTORS

Dr. Alister Frayne is into tea. Forget celebrities and splurges, think honeybush (not roiboos!). This physician has gone out on a limb to develop a brand of herbal health tea—South Africa’s little-known and rare honeybush (check it out at honeybushhealth.com). And it’s the hardest thing he’s done. Seems the world of big business is somewhat of a 180 from family practice. These days, it’s trips to the World Tea Expo in Las Vegas over a hammock in Bali (although that’s still the dream!). Bottoms up! My name: Alister Frayne I live and practise in: Fort Langley, BC My degrees / training: MB.,Ch.B, CCFP. Happily ensconced in full-service family practice, after forays into Anaesthesia (too clos-

My last trip: World Tea Expo, Las Vegas The most exotic place I’ve travelled to: Bushmanland, Namibia The best souvenir I’ve brought back from a trip: Trading my old runners and a bag of rice for

My favourite CD/album or song: Live at Budokan, Bob Dylan

My fondest memory: Family beach holidays as a kid— sleeping on the back window ledge of the Chevy Holden on the drive down to the Zululand coast (forget seatbelts!)

My first job: Internship at Addington Hospital, Durban, aka “Hospital on the Beach”. (The call system was a towel waved from the 5th ﬂoor.)

My biggest challenge: Getting “Honeybush Health Ltd” off the ground—medicine is a breeze by comparison!

The gadget or gear I could not do without: My Chromebook

One thing I’d change about myself: My voice

My favourite room: My self-built media room (teaching point— lousy drywalling can always be hidden by funky painted burlap)

The word that best describes me: Detailed

Must-see TV: Breaking Bad—I still have to ﬁnd the ﬁnal episode rerun (I refuse to tolerate ads!)

My car: C320 Merc My last purchase: Skis for my 11-year-old “laat lammetjie” (look it up). The other 3 kids are at UVic and I’m determined to create “a day with dad” with the last one—“bonding” (we’ll see how that goes!) Last splurge: I don’t Most-frequented store: Home Depot My closet has too many: Blackish socks My fridge is always stocked with: Dry cider and Pinot Grigio My medicine cabinet is always stocked with: Robax

TOP Dr. Alister Frayne with his son Hamish, holding lion cubs. ABOVE Riding an ostrich. RIGHT His Honeybush health tea.

eted), Surgery (too much stool), Orthopedics (hands not big enough), and Trauma (too upsetting)

Why I was drawn to medicine and my specialty: My parents insisted. All the kids chose a profession—my sister became a teacher, my brother a lawyer. I got the medicine straw. (And it was a great blend of language and sciences, my favourite subjects at school.)

a carved Ovambo chest in the Caprivi A favourite place that I keep returning to: When I can—Giant’s Castle, Drakensberg, South Africa My ultimate dream vacation: A hammock and a villa in Bali If I could travel to any time, I’d go…: The jazz era My favourite book: Herzog by Saul Bellow My favourite film: “OBWAT” (O Brother, Where Art Thou?). A close second is Peter Sellers’ classic The Party

JUST FOR CANADIAN DOCTORS WINTER 2014

I’m inspired by: Creativity out of apparent chaos My biggest ego boost: Founding chair of the Langley Division of Family Practice My biggest ego blow: The Edinburgh Royal College primary surgical exam I’m happiest when: The sun is shining My greatest fear: Ending up saying: “Of all the things I’ve lost, it’s my mind I miss the most” My motto: “Do what you do, do well boy” (Boy Scouts song) A cause that’s close to my heart: Primary Care redesign

Guilty pleasure: Aero bar

On my must-do list: Sail across the Paciﬁc

My favourite exercise/sport: Swimming

If I wasn’t a doctor I’d be: A writer

My favourite sport to watch: International rugby—go Springboks!

What’s on your mind: My Honeybush Health tea!

Celebrity crush: I don’t do celebrity I’d want this item with me if stranded on a desert island: Something, anything, to read My secret to relaxing: Gardening with my 30HP John Deere A talent I wish I had: Playing the guitar (actually, any instrument) My scariest moment: Hitchhiking in Zimbabwe in ’79, during the civil war (things we’ll do for love!)

This has been a unique challenge: establishing and setting up a new tea and beverage company, navigating the regulatory and legal minefields, designing and creating product labels, logos, taglines, a website, and a social media campaign, trademarking, entering tradeshows and expos, finding and negotiating with co-packers, and merchants of every stripe. Oh, and developing and marketing a range of sugar-free healthy beverages, and a range of unique herbal health teas. We won’t even mention financing—you know who you are—thank you!

PHOTOS COURTESY DR. ALISTER FRAYNE

S M A L L TA L K

doctors share their picks, pains, pleasures + fears

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14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 7-Night Tahiti and Society Islands from Papeete, Tahiti 14-Night Australia and New Zealand from Sydney Paul Gauguin's Paul Gauguin Holland America’s ms Oosterdam

April 15, 2014 Emergency Medicine June 14, 2014 Primary Care 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 15 AMA PRA Category 1 Credit(s)™ 15 Contact Hours 11-Night Mediterranean Explorer Rome to Venice 12-Night Baltic Sea from Copenhagen, Denmark Holland America's ms Noordam Holland America's ms Eurodam April 29, 2014 Dermatology June 21, 2014 Women's Health 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 12-Night D-Day 70th Anniversary Cruise Rome to Copenhagen 7-Night Hawaiian Islands from Honolulu, Hawaii Holland America's ms Eurodam Norwegian Cruise Line's Pride of America May 11. 2014 Infectious Disease Review June 29, 2014 Family Medicine and Healthcare Communications 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 12-Night Baltic from Copenhagen, Denmark 7-Night Bermuda from Cape Bayonne, New Jersey Holland America's ms Eurodam Celebrity Cruises' Celebrity Summit May 12, 2014 Updates in Gastroenterology and Rheumatology July 5, 2014 Pediatrics Review for the Primary Care Provider 12 AMA PRA Category 1 Credit(s)™ 12 Contact Hours 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 7-Night Mediterranean from Barcelona, Spain to Venice, Italy 11-Night Mediterranean Round-trip from Barcelona, Spain Celebrity Cruises' Celebrity Equinox Royal Caribbean's Serenade of the Seas August 2, 2014 Dermatology for the Dermatologist - 2014 Update May 12, 2014 Neurology Review 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 16 AMA PRA Category 1 Credit(s)™ 16 Contact Hours 7-Night Black Sea Round-trip Istanbul, Turkey 11-Night British Isles from Harwich, England Seabourn Cruises’ Seabourn Odessey Celebrity Cruises' Celebrity Infinity June 9, 2014 Emergency Medicine 16 AMA PRA Category 1 Credit(s)™ 16 Contact Hours 11-Night Mediterranean Explorer Venice to Rome Holland America's ms Noordam

Selected Cruises listed here See a Complete Program Listing at www.ContinuingEducation.NET Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: Continuing Education, Inc. designates these live educational activities for a maximum of 12-21 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Ask about our Guest Travels Free Program We can plan or joint sponsor/accredit your next meeting Call 800-422-0711 or

727-526-1571

or visit www.ContinuingEducation.NET Our in-house travel division can handle your personal travel needs Florida Seller of Travel Reg. #14337

CONSIDER YOUR BATTERIES RECHARGED. Kayak along a gentle river. Hike to a secluded waterfall. Or simply sit and watch the sunset from a pier. It’s all here on Kaua‘i.

Kauai Discovery.com