The Pulse - Summer 2011 by Medical Society of PEI

The Pulse Information

Helping Hands: Supporting your patients and your practice

hen it comes to the fight against cancer, The Canadian Cancer Society is making more impact against more cancers in more communities than any other cancer charity in Canada.

ith the support of volunteers and donors, the Society works locally and nationally to prevent cancer, as well as to save lives and support those living with this disease.

s physicians and specialists, there are many ways the Society can support your work with patients. Read below to learn about some recent developments and visit the Heath Care Professionals page on the Society’s website for additional information. .

Support

Summer 2011 Services

Evaluations of the Society’s information and support services, such as the Cancer Information Service and Peer Support, show they have a positive impact and a high satisfaction rate. These services are available throughout the cancer continuum and have been proven to decrease anxiety and increase people’s ability to cope with cancer. This can be particularly valuable before and after cancer treatment, periods when patients experience gaps in information and support. As the number of people currently benefitting is only a small portion of the potential target population, the Society is attempting to expand its reach by launching a new online community for people with cancer and their caregivers – CancerConnection Online. The site is unique in Canada because of its broad scope and focus on all types of cancer. With individuals increasingly turning to the internet for both health information and support, this new online community offers another type of support for those who may be more comfortable using online services than telephone or in-person support. Members can connect with each other as well as with the Society through blogs, profiles, discussion forums, messages, links and other shared information. You can help support patients through the challenging transitions of their cancer experience by telling them about the Society’s services or completing an Information & Support Referral Form to refer them to the Society’s services. Another new support available this fall is targeted at individuals who have completed cancer treatment within the last two years. Offered as a pilot in partnership with the PEI Cancer Treatment Centre, Cancer Transitions™ supports and empowers survivors as they transition from active treatment to post-treatment. Weekly sessions, led by a trained facilitator, with the assistance of guest speakers, include an exercise component and address topics such as 1) Getting back to wellness 2) Exercise 3) Emotional health 4) Nutrition 5) Medical management 6) Moving beyond treatment The program was developed by the Cancer Support Community and LIVESTRONG, and was customized, piloted and evaluated in Canada with the support of The Canadian Partnership Against Cancer. Research shows that both men and women who participate can experience: 1) Less worry about the negative impacts of cancer 2) Better physical and social functioning 3) More commitment to physical activity 4) Improvements in fat related dietary habits. To register or get program details, individuals should contact the local office of the Canadian Cancer Society at 566-4007/ 1-866-566-4007. Local research on women’s cancers With financial support from the Public Health Agency of Canada, the Society’s PEI Division, has undertaken a project to understand needs for information and support and the gaps in service for women with breast and gynecological cancers in order to build a foundation on which stakeholders can build policy, procedures and programming. In April, the Canadian Cancer Society, the PEI Cancer Registry, and the University of Prince Edward Island cooperated on a mail out of over 500 surveys to women who had been diagnosed with breast or gynecological site cancers in the past five years. Following the collection and analysis of the survey data, a focus group was organized to discuss a number of issues arising from the quantitative and qualitative data. Finally, stakeholders met at the end of June to review the research findings and develop recommendations for action in three key areas. These areas included economic issues, information/communication needs, and fears. Copies of the research report are available by contacting Ann Millar at amillar@pei.cancer.ca or by calling 566-4007/ 1-866-566-4007

2 THE PULSE - SUMMER 2011 Medical Society of PEI

MARK YOUR

CALENDAR

DRIVE for DREAMS Dr. Harry Callaghan Memorial Golf Tournament Belvedere Golf Club

Be sure to join us for these upcoming member events!

The Dr. Harry Callaghan

S 1

Dr. Harry Callaghan Memorial Golf Tournament - Drive for Dreams

Belvedere Golf Club, Charlottetown

1:00 PM Shot Gun Start

AUG 22

1st Annual Brain Injury Awareness Golf Tournament

www.biapei.com

Fox Meadows Golf & Country Club, Stratford

AUG 24-26

8th Annual Brain Injury Their mandate: To improve the quality University Association of Canada of life for all those affected by acquired of PEI, Conference brain injury and promote its prevention. Charlottetown See: www.biac-aclc.ca/en/category/biacannual-conferences

Sept 10

MSPEI Annual CME Sessions: “Magic and Medicine” Shaw’s Hotel, 8:15 AM General Meeting presented by Dr. Lalit Chawla, and Brackley Beach Luncheon & member Luncheon “Vaccines – Progress Report or 12:30 pM Quick Answers to Tough Questions: Vaccine Talking Points for Busy Health Professionals “with Dr. Heather Morrison, CHO General Business Session, address from the CMA

during their courageous bat-

Lunch with short update from the Canadian Medical Foundation – Alison Forestell

tles against acute and chronic

tion are used not only to sup-

AUG 10

children and their families

The funds from this founda-

Time

cated to supporting Island

Location

Pediatric Foundation is dedi-

illnesses.

Information

Team $900 Individual $225

Date Event

Wednesday, August 10th 2010 1:00 p.m. shot gun start

lobore S

Sept 10

SPouses’ Luncheon

Sept 10

president’s reception & Dinner

SEPT 28

SPEAKING OF SKIN: A Modular Approach to the Red and Scaly

Please invite your spouse/partner to this annual event. RSVP to robin@mspei.org

The Dunes, Brackley (limited seating)

12:00 NOON

Shaw’s Hotel, Reception 6:30 PM Brackley Beach Dinner: 7:30 – 9:00 PM

ply much needed pediatric equipment to the QEH, but also provide packages to help with travel expenses for the families of critically ill children who must be sent off Island.

Added to this is the need to assist Island children who

SEPT 1 Atlantic Provinces - Oct Inter-professional Pain 1 Conference SEPT 13

habilitation equipment that will enable them to enhance their independence and quality of life.

To register go to: www.drharrygolf.com

Best Western Charlottetown

1:30 – 5:30 PM

Presented by the QE II Pain Management Unit of CDHA Pain Services Brochure and registration form available at www.nsanesthesia.ca/s/apipc

World Trade & Convention Centre, Halifax, NS

2:00 pm

12th Annual Fetal Alcohol Canadian Expertise (FACE) Research Roundtable

Stanhope Seating is limited so register early. 2011 Roundtable Program and Registration Beach Resort Form are available at: http://www.moth- & Conference erisk.org/FAR/econtent_conferences2011. Centre jsp.

oct 28

Osteoporosis: Closing the Gap

Presented by the PEI Chapter, Osteoporosis Canada; call: 367-3933 to register.

Holiday Inn Express, Charlottetown

8:30 AM – 4:00 PM

dec 21

ANNUAL HOLIDAY RECePTION & DANCE

Mixer for Island Medical Students & Residents. We encourage members to come meet their future colleagues.

Studio Theatre, Confederation Center, Charlottetown

TBA

are physically and mentally challenged in obtaining re-

Physicians will be able to follow a learning path that will discuss clinically relevant diagnostic and treatment approaches for frequently seen red and scaly lesions in the primary care setting. Registration will be forthcoming. (This is a LEO Pharma Accredited Session), presented by Dr. Marc Bourcier

Medical Society of PEI THE PULSE - SUMMER 2011 3

Celiac Disease:

The Great Pretender

Celiac disease is a permanent intolerance to gluten (a protein present in wheat, rye and barley), which causes damage to the small intestinal mucosa by an autoimmune mechanism in genetically susceptible individuals. Celiac disease is one of the most common gastrointestinal disorders in the world. Studies estimate that celiac disease affects 1% of the population, but 90% of these individuals remain undiagnosed. Celiac disease was thought to be a rare malabsorptive disorder of infancy and childhood. However, it is now considered to be a common, chronic, multi-system autoimmune disorder that can present at any age when gluten is present in the diet. Awareness of celiac disease amongst health professionals remains poor (1,2). The mean duration of symptoms before diagnosis of celiac disease in Canadian adults is 11.7 years. From Paediatrics to Geriatrics, Celiac Disease Knows No Age Limits Typical symptoms of celiac disease include abdominal pain, diarrhea and weight loss. However, many individuals present with atypical symptoms including anemia (iron or folate deficiency), extreme weakness, constipation, oral aphthous ulcers, short stature, osteoporosis, menstrual irregularities and infertility. Additional symptoms in children include delayed growth and puberty, vomiting, irritability and dental enamel defects.

Celiac disease is a hereditary disorder. Both first and second-degree relatives of the person with celiac disease are at risk of developing the disease. Other highrisk groups include patients with autoimmune disorders and Down syndrome. Screening is recommended for all high-risk individuals.

“Celiac disease is one of the most common gastrointestinal disorders in the world. Studies estimate that celiac disease affects 1% of the population, but 90% of these individuals remain undiagnosed.”

Serological screening of all individuals presenting with the following symptoms to primary care physicians led to a 42-fold increase in the diagnoses of celiac disease (3). • Abdominal pain • Diarrhea • Bloating • Constipation • Irritable bowel syndrome • Fatigue • Anemia • Abnormal liver transaminases • Infertility • Epilepsy • Ataxia

12th Annual Fetal Alcohol Canadian Expertise (FACE) Research Roundtable

etal exposure to alcohol can affect the brain’s capacity for memory, learning and abstract thinking. Speakers at the 12th Annual FACE Research Roundtable will describe new

research into how to capitalize on the brain’s plasticity to improve

cognitive capacity, impulse control, emotional processing and social understanding. Presentations include: • Understanding the epidemiology of FASD: The role of meconium testing; • Legal and ethical issues in diagnosis of FASD; • PEI Meconium Study: Prevalence of prenatal alcohol exposure on Prince Edward Island;

• Thyroid disease • Type 1 diabetes • Relatives of patient with celiac disease Dermatitis herpetiformis (DH) is “celiac disease of the skin”. It presents with a chronic, severely itchy, blistering rash. If such rash does not respond to conventional therapy, DH should be considered. A skin biopsy will make the diagnosis of DH and a gluten-free diet will help alleviate the symptoms.

Screening for Celiac Disease The currently recommended test to screen for celiac disease is IgA-tissue transglut aminase antibody (TTG). IgA deficiency is common in celiac disease and hence total serum IgA level must also be measured. Patients with a positive TTG test should be referred for endoscopic small intestinal biopsy to confirm the diagnosis. Managing Celiac Disease Celiac disease can be effectively treated by a strict, life-long adherence to a glutenfree diet. A gluten-free diet should NOT be started before an intestinal biopsy is done, as it will affect the interpretation of

the biopsy and make confirmation of the diagnosis difficult. Early diagnosis of celiac disease will prevent nutritional deficiencies and may also reduce the risk of developing certain cancers and other autoimmune disorders. For further information, please visit the web sites of the Canadian Celiac Association at www.celiac.ca and www.celiacguide. org) The Canadian Celiac Association is a national organization dedicated to providing services and support to persons with celiac disease and dermatitis herpetiformis through programs of awareness, advocacy, education and research. Suggested Readings: (1). Cranney A et al. The Canadian Celiac Health Survey. Dig Dis & Sci. 2007;52(4):10871095 (2). Rashid M et al. Celiac disease: Evaluation of the diagnosis and dietary compliance in Canadian children. Pediatrics 2005;116:e754-e759 (3). Catassi C et al. Detection of celiac disease in primary care: A multicenter casefinding study in North America. Am J Gastroenterol 2007;102:1454–60. written by: Dr. Mohsin Rashid FRCP(C) Paediatric Gastroenterologist

• Announcement of 2011 Canadian Foundation on Fetal Alcohol Research • (CFFAR) Grant Winners; • FASD screening and diagnosing in a male federal penitentiary; Improving executive functioning in children with FASD: Measuring brain and behavioural outcomes; • Cognitive training for children with FASD; • FASD follow-up in schools to improve child life outcomes.

Tuesday, September 13, 2011 at Stanhope Beach Resort & Conference Centre - Seating is limited so register early. 2011 Roundtable Program and Registration Form are available at: http://www.motherisk.org/FAR/econtent_conferences2011.jsp.

4 THE PULSE - SUMMER 2011 Medical Society of PEI

Dear Colleague,

There are four ways to

get involved:

Come and experience at cma.ca. RSVP and/or

We hope you will take ad-

GC first-hand and see the send your questions to vantage of this rare opporCMA’s democratic process- Membershour@cma.ca tunity to observe your Ases in action. As a member

sociation and its represen-

observer you may attend

Join your colleagues tatives as some of the most

any or every day of GC and at GC via Asklepios, the pressing issues facing Canathe CMA’s Annual Business CMA’s 5,000-member on- dian medicine are debated. Meeting free of charge (in- line community for phy- Register early as space is limcluding several sessions sicians, and discuss GC- ited. You may do so online at that provide CME credits). related issues from your www.cma.ca/gc. Registration is free. Visit home or office. The CMA www.cma.ca/gc.

will be hosting a special GC national dialogue on-

Participate in the CMA line in the weeks leading Members’ Forum:

up to the meeting.

Sincerely,

This 75-minute session allows members to ques-

Participate via oppor-

tion CMA leaders about tunities on cma.ca issues of their choosing.

View the daily news-

It will take place August letter, live streaming of 22 at 2:15 pm (Newfound- sessions, YouTube interland Time Zone) at the St. views and comments ofJohn’s Convention Centre fered via our Twitter feed. in St. John’s. Members can Visit www.cma.ca/gc for also participate virtually more information.

Jeffrey Turnbull, MD, FRCPC President, Canadian Medical Association

On behalf of the Canadian Medical Association (CMA), you are cordially invited to attend and participate in the annual meeting of the CMA’s governing body, General Council (GC). The meeting will be held in St. John’s, Newfoundland August 21-24, 2011. General Council brings together 270 delegates from all provinces/ territories and from some 50 affiliated societies. It functions as our profession’s Parliament, with delegates debating issues of national interest.

Medical Society of PEI THE PULSE - SUMMER 2011 5

Student’s Corner

ers’ achievements at Dal, or include any comments

reetings, welcome to the new Students’ Corner sec-

or columns submitted by students. Plans are also

tion of the PULSE! My name is Joanne Reid, and I’m

in the process for a recruitment trip in the early

your new student representative from Dal to the PEI

Fall to promote all that the Island has to offer not

Medical Society. After having just completed my first year of medi-

only to Island students at Dal, but others as well.

cine, I realize what a dynamic area that medicine is in general, and

In a time of health care reforms, PEI is a dynamic

what vast opportunities that PEI itself has to offer to residents,

area to practice and learn, and it is imperative that students remain

practicing physicians, and students alike. Having attended the

informed and at the forefront of change. Although the Island may at

recent AGM, doing some rotations with local physicians, and

times appear comparatively small in terms of contemporary research

meeting new faces, I see the support and motivation that all of

and technology, it is large in its partnerships among local health care

us students gain from potential future colleagues. This summer,

providers, students, and families alike. Feel free to contact me at any

I am on the Island participating in the MSPEI Student Summer

time at joareid@dal.ca if you would like to submit to the students’

Program and look forward to meeting fellow students, residents,

section or if there are any opportunities/events to send out to fellow

and preceptors.

Island students.

As Dal Student Rep, I feel that it is important to maintain and strengthen the relationship between the MSPEI and Dal medical students, both in terms of the society being informed of its students’ achievements, and reciprocally, the students being updated on any Island opportunities. A column will be included in each edition of the PULSE to acknowledge any fellow Island-

Summer Students

Physician recruitment

UPDATE

The 2011 Medical Student Orientation began on Monday June 6th. Ja-

Submitted by: Sheila MacLean, RPR Physician Recruitment Coordinator Recruitment and Retention Secretariat Department of Health and Wellness.

net MacFadyen, MSPEI’s Office Manager and Summer Student Coordinator,

New Physicians

introduces the first group

Dr. Johann Vlok

Family Medicine - Cornwall

April, 2011

Dr. Tahir Rafiq

Emergency Medicine - Summerside

April, 2011

Dr. Owen MacAusland

Emergency Medicine - QEH (.25 fte)

June, 2011

tion Week and the 2011

Dr. Rory Porteous

Radiology

June, 2011

program.

Dr. Ihab Abdelmalek

Family Medicine - Tyne Valley

May, 2011

Committed to Begin Practice

(Signed letters of offer)

Dr. Chris King

Family Medicine - Charlottetown

Fall, 2011

Dr. Don Roux

Family Medicine - Souris

July, 2011

Dr. Zia Rahman

Psychiatry

August, 2011

Steve Walsh, 1st year, Dal-

Dr. Babar Hameed

Transferring from Family Medicine In O’Leary to Addiction Services

July, 2011

housie University; Janet

Dr. Ihab Abdelmalek

Souris/Tyne Valley

March 30 April 2, 2011

Dr. Aaron Sibley

Emergency Medicine - QEH (Also did a locum)

May, 2010

Dr. Thomas Bronaugh

Emergency Medicine - QEH

June 2-4, 2011

of students to Orienta-

Right to Left: Thor Christensen, 2nd year, Dalhousie University;

MacFadyen; Joanne Reid,

Site Visits

1st year, Dalhousie University; and Hannah Roberts, 2nd year, University of Ottawa.

6 THE PULSE - SUMMER 2011 Medical Society of PEI

Clinical Day, June 3rd, 2011: “Everything You Need to Know About Organ/Tissue Transplants” The Transplant Team from Halifax were well-received at the recent Clinical Day held at Credit Union Place in Summerside. Presenters were (right to left): Sean Macdonald, Kidney-Pancreas transplant recipient; Dr. Ian Alwayn, Surgical Director Multi-Organ Transplant Program; Dr. Marie Laryea, Transplant Hepatologist; Dr. Jean Francois Legare, Surgical Director of Heart Transplantation; Dr. Tammy Keough-Ryan, Medical Director of Kidney-Pancreas Transplantation; Dr. Steve Beed, Director Critical Care Organ Donation; and Amanda Tinning, Nurse practitioner Liver Transplantation.

Richard Wedge welcomes Dr. Mike Kaufman and Mary Yates, to the 2011 PMI course on “Disruptive Behaviour: Resolving Personalized Conflict”, which was held at the Lakeview Loyalist Resort, Summerside, from May 4 – 6th. Thirty physicians learned to identify and apply skills and strategies for dealing with disruptive behaviours in the workplace.

Medical Society of Prince Edward Island ANNUAL GENERAL MEETING Saturday, September 10, 2011 You are invited to attend the Medical Society of PEI’s one-day AGM. Shaw’s Hotel, Brackley Beach, PEI A block of rooms are on hold until August 19th, 2011. Call 672-2022 to reserve. 8:15 – 8:30 a.m. Registration 8:30 – 9:30 a.m. Breakfast & CME Accredited Session: “If You Don’t Like the Vaccine, Try Getting the Disease! - A Vaccine Update” presented by Dr. Heather Morrison, Chief Health Officer 9:30 – 12:30 p.m. MSPEI Business Session including keynote speaker: Dr. Lalit Chawla: “Magic & Medicine” (Accredited CME) 12:30 p.m. Member Luncheon 12:00 Noon Guest’s Luncheon Guest/spouse/partner to join together for a luncheon at The Dune’s Restaurant, Brackley - Limited Seating 6:30 p.m. President’s Reception 7:30 – 9:00 p.m. President’s Dinner For more information contact the Medical Society at 368-7303 or e-mail robin@mspei.org

Medical Society of PEI THE PULSE - SUMMER 2011 7

PEI CHAPTER of

FAMILY PHYISICIANS

PRENATAL RESOURCES As part of the PEI Reproductive Care Program, there are many useful prenatal resources available for both both physicians and patients.

The Prenatal materials order form is on the Department of Health and Wellness, Chief Health Office, Reproductive Care Program website in the Health Professionals Resources section found at

http://www.gov.pe.ca/health/ index.php3?number=1034879

The Prince Edward Island Chapter of Family Physicians had their Annual General Meeting, June 8, 2011. This year we had a magical view of The River Clyde from the PEI Preserve Company’s restaurant in New Glasgow. With one of largest attendance in years, it was a sign that our chapter is becoming a voice to be heard.

Membership Advisory: Dr. Stirling Keizer

Research and Education Foundation -OPEN-

Dr. Cellier thanked everyone for attending. We even gave a thanks to our newest girl, Heather Mullen (our new photographer). Dr. Celliers thought it was great that Heather and Rosemary may start working together more.

After a warm welcome from Dr. Andrew Wohlgemut, Dr. Ayo Harris-Eze presented the CME. The Topic was “Targeting Inflammation in COPD in 2011”.

Environmental Research Dr. Jason Thompson

Hope you enjoyed this overview of events.

The Nomination of our chapter’s Board of Directors, Executive, Committees and Chair was next. For 2011 to 2013 we are please to announce our next Board of Directors.

CPD & Mainpro Accreditor: Dr. Lana Beth Barkhouse

With all nominations completed, Dr. Andre Cellier, our new President, led the rest of the evening. Andre thanked everyone

still putting his family front and center.

Rosemary Burke Perry College Administrator

Past President: Dr. Andrew Wohlgemut President: Dr. Andre Celliers President Elect: Dr. Lana Beth Barkhouse Treasurer: Dr. Barbara Flanagan Honorary Secretary: Kathie McNally National Board Directors: Dr. Andre Celliers and Dr. Lana Beth Barkhouse Our colleagues that represent us on national Committees are: Advisory Committee: Dr. Charles Duffy

and delivered a view of a successful next two years. Andre then asked Dr. Mona Reck to announce the Awards of Excellence. The 1st award was presented to Dr. Jenni Zelin, for her “Contribution to Arts in Medicine” The 2nd award was presented to Dr. Stirling Keizer for his “Development Coordinator Residency Program” Dr. Mona Reck introduced Dr. Randy MacKinnon. Dr. MacKinnon was honored to introduce the next Family Physician of the Year for 2011-2012: Dr. Peter Hooley. Dr. Hooley is young doctor with an amazing resume. Such a list of achievements while

Family Physician of the Year for 2011-2012

Dr. Peter Hooley, presented by Dr. Mona Reck

8 THE PULSE - SUMMER 2011 Medical Society of PEI

MEDICAL STUDENT’s & RESIDENTs

ANNUAL BBQ

results of the 2011 Medical student

golf tournament

Dr. Harry Callaghan Memorial Trophy for the Team with the Lowest Score: Team: Shanks-a-lot - Bob Burke, Mike Oxner, Kenny McMillan and Terry Dunsford Gerry Lynch Memorial Trophy for the Most Sportsmanlike Player: Thor Christensen Longest Drive – Men’s (Hole 18): Dr. Scott Campbell Longest Drive – Women’s (Hole #9): Dr. Kristy Newson Closest to the Line – Hole #3: Dr. Jurgen Kontor Closest to the Pin – Men’s (Hole #4): Dr. Jonathan Sharpe Closest to the Pin – Women’s (Hole #12): D.r Marie O’Hanley Closest to the Pin – Men’s (Hole #15): Mike Oxner Closest to the Pin – Women’s (Hole #7): Judi O’Hanley Most Honest Team: Fore the Family: Dr. Marie O’Hanley, Dr. Stuart Matheson, Dr. Jerry O’Hanley & Judi O’Hanley 2nd Place Team: Sod Sailors: Dr. Jonathan Sharpe, Chris Barry & Tom Toner (Astra Zeneca) 3rd Place Team: The Water Hazards: Dr. Kristy Newson, Dr. Don Stephens, Dr. Randy MacKinnon and Andrew MacKinnon

Heather Mullen with son, Eammon Our youngest diner!

Thor Christensen, Most Sportsmanlike Player

Bob Burke & Mike Oxner Shanks-a-Lot Team with Lowest Score

Medical Society of PEI THE PULSE - SUMMER 2011 9

x x

September 28, 2011

Best Western

Grafton Street

Charlottetown, PEI

Marc Bourcier, GP, FRCPC

Dermatologist, Moncton, NB

x x x

1:00 – 1:30pm 1:30 – 5:30pm 5:30 – 5:45pm

x x x

RSVP: Robin Jenkins, Professional Development Officer Medical Society of PEI 902-368-7303 robin@mspei.org

x x x

This program has been reviewed by The College of Family Physicians of Canada and as received accreditation by the College’s Provincial Chapter for 5 Mainpro M-1 credits.

Pain Conference: Sept 30 - Oct 1, 2011 Atlantic Provinces Inter-professional Pain Conference September 30 – October 1, 2011 World Trade & Convention Centre, Halifax, NS Presented by the QE II Pain Management Unit of CDHA Pain Services Topics Include: Epidemiology of Neuropathic Pain Pediatric Pain Management in the Community Pain Management in Dentistry Stigma and Social Consequences Reducing the Pain of Childhood Immunization Evidence Synthesis in Chronic Pain Peri-operative Pain Management Panel And more…

Target Audience: Family physicians, specialists and other health professionals who have an interest in treating the population who have chronic pain problems. Faculty will be from multiple disciplines and the program will be tailored to facilitate a team approach including nursing, medicine, physiotherapy, psychology, dentistry, pharmacy and occupational therapy. For more information, contact: Abena Amoako-Tuffour Global Health Coordinator Dalhousie Department of Anesthesia 902-473-5428 or abena.amoako-tuffour@ cdha.nshealth.ca http://nsanesthesia.ca/s/APIPC