DOWNLOAD GP CME 2010 PROCEEDINGS BOOKLET (8mb PDF)
Transcription
DOWNLOAD GP CME 2010 PROCEEDINGS BOOKLET (8mb PDF)
Inaugural Meeting www.gpcme.co.nz/south 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Working for doctors in NZ for over 100 years The New Zealand Medical Association (NZMA) through its General Practitioners Council is a strong advocate for GPs and General Practice. We advocate for urgent and effective solutions to the crisis in the GP workforce. We represent 600 general practices in the Primary Health Care MECA negotiations. Members have access to many NZMA advisory services, which can be utilised by the practice manager. The NZMA also publishes the New Zealand Medical Journal (available at: www.nzma.org.nz/journal) and the NZMJ Digest (selected papers from the NZMJ). Thank you for supporting your professional association - We look forward to representing and supporting you. www.nzma.org.nz 0800 656 161 Welcome It is always a pleasure to join colleagues at conferences that are both educative and great fun. The NZMA GPCME conferences are always such occasions and it is a real pleasure to welcome you to Christchurch for the inaugural NZMA GPCME South meeting. For some years we have had delegates attending the Rotorua conference telling us that they had been able to come to the conference only because one of their practice colleagues drew the short straw and had to cover the patient load for the couple of days, and the weekend. This conference developed out of that feedback. Christchurch, a few months on, provides the ideal pay-off for those who had to stay behind during the Rotorua event. This conference will provide the same style of short, sharp educational sessions and hands-on workshops that Rotorua is renowned for. The other obvious advantage for many is the timing. Christchurch in winter! Hopefully many of you will have found a few extra days to enjoy the Garden City or the nearby ski fields. The early season outlook is that Mt Hutt and the other Canterbury ski fields may have the best snow conditions in the country this year. We are confident that this conference will complement the Rotorua event and expect it to become a regular feature of the General Practice calendar in the years to come. For now please take advantage of the excellent academic and social programme, add a few of your own leisure time activities, and go back to your practice energised and reinvigorated so that you can continue to enjoy being a GP. Mark Peterson Chair GP Council NZMA Speakers Dr Robert Allison Mr Brian Almand Dr John Apps Dr Adrian Balasingam Dr Alex Bartle Mr Philip Bird Dr Jim Borowczyk Dr David Bowie Dr David Bratt Mr Andrew Carmody Dr Peter Chapman-Smith Dr Daniel Ching Dr Richard Chisholm Dr Sean Every Dr Richard Fisher Dr Peter Foley Associate Professor Ed Gane Mr John Glue Dr Brendan Gray & Dr Tim Cookson Dr Katherine Grundy Dr David Hammer Dr Nigel Harrison RN Linda Hill Dr Shaun Holt Associate Professor Gary Hooper Professor Hamid Ikram Dr Rosemary Ikram Professor Peter Joyce Dr Ai Ling Tan Dr Ken Macdonald Dr Roland Meyer Dr Philip Parkin Dr Mark Peterson Dr Claude Preitner Mr Sanjeewa Samaraweera Dr Sara Souter Dr Ian St George Dr Bruce Sutherland Mr Tony Ward Dr Phil Weeks Dr Anton Wiles Ms Chris Wills Dr Heather Young Dr Rob Young GOLD SPONSOR 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Reliever free days for most of the year. That’s freedom. 1 By prescribing twice-daily Seretide® you can achieve and maintain asthma control* in most patients.1,2,3 What’s more, patients treated with Seretide in the GOAL study achieved a median of 87% reliever-free days over 1 year.1 So help improve your patients’ likelihood of achieving reliever free days for most of the year.1 Step them up to Seretide. *The GOAL study examined whether guideline-defined control could be achieved in 3,416 patients with uncontrolled asthma. On Seretide, 41% of patients achieved total control and 71% achieved well controlled asthma for periods of 7 out of 8 weeks during the 1-year study. Total control was defined as experiencing none of the 7 listed symptoms for at least 7 out of 8 weeks. References: 1. Woodcock AA et al. Prim Care Respir J. 2007;16(3):155–161. 2. Bateman ED et al. Am J Respir Crit Care Med. 2004;170:836–844. 3. Bateman ED et al. Allergy. 2008;63:932–938. Seretide® (fluticasone propionate / salmeterol xinafoate inhaler 50/25, 125/25mcg per actuation and Accuhaler® 100/50, 250/50mcg per actuation) is a fully funded medicine; Special Authority criteria apply. Seretide 250/25mcg inhaler is a private purchase medicine; a prescription charge will apply. Prescription Medicine for the treatment of reversible obstructive airway disease (ROAD) including asthma, and for the treatment of chronic obstructive pulmonary disease (COPD). Warnings and Precautions: Not for relief of acute symptoms. Do not discontinue abruptly. Use care when co-administering strong CYP3A4 inhibitors (e.g. ketoconazole) or in patients with pulmonary tuberculosis or thyrotoxicosis. Common side effects: hoarseness/dysphonia, throat irritation, headache, oral candidiasis and palpitations. Paradoxical bronchospasm may occur. Avoid beta-blockers if possible. Before prescribing Seretide, please review the Abridged Product Information included within this booklet. Seretide and Accuhaler are registered trade marks of the GlaxoSmithKline group of companies. Marketed by GlaxoSmithKline NZ Limited, Auckland. TAPS DA 4210AH/10JL/148 Contents 1 EXHIBITION SECTION Map of Hotel Grand Chancellor & Holiday Inn City Centre.......................................................................................................................2 Map of Christchurch & useful contact numbers .......................................................................................................................................3 Exhibition Layout & Prizes........................................................................................................................................................................4 Exhibitor Listing.......................................................................................................................................................................................5 Exhibitors by Product/Service/Category ....................................................................................................................................................6 Exhibition Competition............................................................................................................................................................................7 GP CME South 2010 PROGRAMME Friday ......................................................................................................................................................................................................9 Saturday ...............................................................................................................................................................................................10 Practice Nurses Programme ...................................................................................................................................................................11 Medical Assurance Society Business Summit ..........................................................................................................................................11 AMSNZ/CAA Meeting ...........................................................................................................................................................................11 Sunday..................................................................................................................................................................................................12 SPEAKERS BIOGRAPHIES AND SESSIONS Dr Robert Allison, Otolaryngologist, ENT Surgeon, Christchurch Public Hospital ..................................................................................14 Mr Brian Almand, Pharmacist, HVDHB Hutt Hospital Pharmacy, Wellington .........................................................................................14 Dr John Apps, General Practitioner, Westport ......................................................................................................................................15 Dr Adrian Balasingam, Radiologist, Christchurch Radiology Group, Christchurch ................................................................................15 Dr Alex Bartle, Director, Sleep Well Clinic, Auckland ............................................................................................................................15 Mr Philip Bird, Otolaryngologist, Christchurch Public Hospital, Christchurch ........................................................................................16 Dr Jim Borowczyk, Musculoskeletal Physician, Christchurch ................................................................................................................16 Dr David Bowie, Intensive Care Specialist, Specialist Anaesthetist, Canterbury DHB .............................................................................16 Dr David Bratt, Principal Health Advisor to the Ministry of Social Development ....................................................................................16 Mr Andrew Carmody, Project Director, Medtech .................................................................................................................................17 Dr Peter Chapman-Smith, Skin and Vein Clinic, Whangarei ................................................................................................................17 Dr Daniel Ching, Consultant Rheumatologist, Timaru Hospital ............................................................................................................17 Dr Richard Chisholm, Obstetric radiologist, Christchurch Women’s Hospital ........................................................................................19 Dr Sean Every, Ophthalmologist & Vitreo-Retinal Surgeon, Christchurch Eye Department ....................................................................19 Dr Richard Fisher, Medical Director and Co-founder, Fertility Associates ..............................................................................................20 Dr Peter Foley, Chairman of the New Zealand Medical Association, Hawkes Bay .................................................................................20 Associate Professor Ed Gane, Hepatologist, Auckland City Hospital ...................................................................................................20 Mr John Glue, Business Advisor, Medical Assurance Society .................................................................................................................21 Dr Brendan Gray & Dr Tim Cookson, Medical Protection Society .......................................................................................................21 Dr Katherine Grundy, Clinical Director, Christchurch Hospital Palliative Care Service............................................................................22 Dr David Hammer, Clinical Microbiologist, MedlabSouth.....................................................................................................................22 Dr Nigel Harrison, Consultant Physician and Head of Cardiology, Whangarei Hospital .........................................................................24 RN Linda Hill, Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre .....................24 Dr Shaun Holt, Research Review, Tauranga ..........................................................................................................................................24 A/Professor Gary Hooper, Associate Professor and Head of Department, Christchurch School of Medicine and Health Sciences .........25 Professor Hamid Ikram, Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist, Christchurch......................25 Dr Rosemary Ikram, Clinical Microbiologist, MedlabSouth ..................................................................................................................27 Professor Peter Joyce, Dean of the University of Otago, Christchurch .................................................................................................27 Dr Ai Ling Tan, Gynaecological Oncologist at, ADHB and Ascot Central Women’s Clinic, Auckland ......................................................27 Dr Ken Macdonald, Dermatologist, Dermatologic Surgeon, Christchurch ............................................................................................28 Dr Roland Meyer, Respiratory Physician, Southern DHB, Southland Hospital ........................................................................................28 Dr Philip Parkin, Consultant Neurologist, Christchurch Hospital, Christchurch .....................................................................................29 Dr Mark Peterson, Chair NZMA GP Council, Napier ............................................................................................................................29 Dr Claude Preitner, Senior Medical Officer, Civil Aviation Authority of NZ ............................................................................................29 Mr Sanjeewa Samaraweera, Managing Director, Medtech ................................................................................................................29 Dr Sara Souter, Occupational Medicine Specialist, Christchurch ...........................................................................................................30 Dr Ian St George, General Practitioner, Medical Director, McKesson New Zealand, Wellington .............................................................30 Dr Bruce Sutherland, General Practitioner, Warkworth........................................................................................................................30 Mr Tony Ward, Senior Helicopter Crewman, Advanced Paramedic/RN, Christchurch ............................................................................33 Dr Phil Weeks, Director of Ultrasound, Middlemore Hospital, Auckland ...............................................................................................33 Dr Anton Wiles, General Practitioner, Auckland...................................................................................................................................33 Ms Chris Wills, Business Advisor, Medical Assurance Society ................................................................................................................34 Dr Heather Young, Sexual Health Physician,Christchurch Sexual Health Clinic, Christchurch Hospital...................................................34 Dr Rob Young, General Physician, Associate Professor of Medicine and Molecular Genetics .................................................................34 ABSTRACTS Friday .............................................................................................................................................................................................. 37-54 Saturday ......................................................................................................................................................................................... 55-64 Medical Assurance Society Business Summit .................................................................................................................................... 66-67 Practice Nurses Programme ............................................................................................................................................................. 68-72 Sunday............................................................................................................................................................................................ 74-82 ADDITIONAL DETAILS Delegate Listings - Alphabetical ....................................................................................................................................................... 84-87 Delegate Listings - Regional............................................................................................................................................................. 88-91 GP CME South Certificate of Attendance / Credit Claim Form ...............................................................................................................93 Practice Nurses Attendance Certificate ..................................................................................................................................................95 Conference Evaluation Questionnaire ....................................................................................................................................................97 Sponsors/Exhibitors ................................................................................................................................................................. Back Cover 2 Hotel Layouts Hotel Grand Chancellor Layout 161 Cashel Street Chancellor 5 Level 14 Holiday Inn Rooms Layout 172 Cashel Street Lichfieldeld Room Lichfi Level 1 Salisbury Room Salisbury Level 2 Worcester Function Bar Manchester Windows Level 2 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Ballroom 2 Ballroom 1 Le ve l1 1 Gloucester Gloucester D A KL CH CH W EL L Chancellor 1 Map & Contact Numbers 3 Christchurch Map Useful Contact Numbers Conference Matters .................................. 021 164 3815 Unichem Murray’s Chemist ......................... 03 366 6816 Hotel Grand Chancellor .............................. 03 379 2999 Holiday Inn City Centre ................................ 07 348 1174 Hotel So ...................................................... 07 348 1179 Tiffany’s (Fine Dining) .................................. 03 379 1350 95 Oxford Terrace Peek Displays .............................................. 021 849 969 Shipleys ...................................................... 07 343 6164 Taxi/Shuttle Regency Cabs ......................................... 0800 357 8008 Green Cabs ............................................... 0508 447 336 Super Shuttle .............................................. 03 357 9950 Christchurch Airport ................................... 03 358 5029 Air New Zealand ....................................... 0800 737 000 Jetstar ....................................................... 0800 800 995 Pacific Blue ............................................... 0800 67 0000 Qantas ...................................................... 0800 808 767 Curators House Restaurant (Fine Dining) ..... 03 379 2252 7 Rolleston Avenue Palazzo Del Marinaio Seafood Restaurant..... 03 365 4640 108 Hereford St Octagon Restaurant (Live Jazz) ..................... 03 366 6171 124 Worcester St Sticky Fingers Restaurant & Bar .................... 03 366 6451 Clarendon Tower, Oxford Terrace Dux de Lux (Vegetarian) ............................... 03 366 6919 Cnr Hereford & Montreal Streets 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 4 Exhibition Layout & Prizes Exhibition Layout 7 49 Registration FH 6 5 21 4 3 2 22 23 24 20 19 18 17 11 12 47 48 46 45 1 34 35 36 37 38 8 9 10 25 16 26 30 27 31 28 29 32 33 39 40 41 1.......... New Zealand Medical Association 2.......... Healthline 3.......... Norgine 4.......... Pharmaco Healthcare 6-5 ...... Mundipharma 7.......... Roche Diagnostics 8-10 .... GlaxoSmithKline 11-12 .. Primary Health Care 13-14 .. AstraZeneca 15........ Aspen Pharmacare 16........ Bayer NZ 17........ Univertsity of Otago 18........ BDM Grange 13 14 15 19........ Novartis 20........ Medical Assurance Society 21........ Repromed 22........ OBEX 23........ Konnect Net Ltd 24-25 .. Boehringer Ingelheim 26-27 .. Eli Lilly 28-29 .. St John 30........ CSL Biotherapies 31........ NZ Doctor/MIMS 32........ Zone Medical 33........ Fertility Associates 34........ Heinz Nurture 44 43 42 35........ Medtech 36........ MedicAlert 37-38 .. Sanofi-Aventis 39-40 .. Douglas Pharmaceuticals 41........ New Zealand Medical & Scientific 43-42 .. Roche Products 44........ W M Bamford 45........ Ministry of Social Development 46........ ACC 47-48 .. MSD 49........ Abbott Laboratories Exhibitor Prizes Exhibitor Abbott Laboratories Prize Details Answer three questions at our stand and go in the draw to win a food/goodies basket Boehringer Ingelheim We will be offering the chance to win one of three 8GB USBs at our stand CSL Biotherapies Eli Lilly Fertility Associates GlaxoSmithKline Konnect Visit our stand to enter the draw to win an Adscope™ 657 valued at over $400 – this is the next generation in electronic stethoscopy. You will have to answer 3 simple questions to enter the draw. Our quiz prize is a 3M Littmann Master Cardiology III Stethoscope. be in the draw to win a gorgeous life-size soft kakapo family – dad, mum and chick – made right here in New Zealand. Pick up your share of 10,000 jelly beans plus a supply of their sought-after Biological Clocks. Our quiz prize is a 3M Littmann Master Cardiology Stethoscope. 49 24 - 25 30 26 - 27 33 8 - 10 Visit our stand to enter the draw to win an 8GB iPod touch 23 We are doing a prize draw and giving away a prize (choice of travel voucher or gift hamper valued at $200) 20 Medtech Medtech Stand: iPod Nano Each Medtech Workshop: iPod Shuffle 35 Novartis Visit our stand to be in the draw to win one of two “Medical Book Vouchers” valued at $ 100 each. 19 “Guess the number of Macintoshes” competition, where the winner gets the jar of lollies and a magnum of Whitehaven wine. 1 Norgine are offering a NZ$300 Education Gift Certificate to contribute to future Conference Sponsorship, Education or Education Support Materials 3 Medical Assurance Society NZMA Norgine MSD Roche St John Roche Products 2 Ultrascope Stethoscopes and 2 Merck Manuals as prizes on our stand. Our prizes are two bundles each containing - A Welch Allyn Braun Thermoscan Pro 4000 & Littmann Classic II Stethoscope. 47 7 Visit our stand to enter the draw to win an iPhone 3G as our prize 28 - 29 We have two prize bundles each containing: A Welch Allyn Braun Thermoscan Pro 4000 & Littmann Classic II Stethoscope. 42 - 43 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Exhibition Listing Exhibitor Listing - Alphabetical Abbott Laboratories ................. 49 David Barrett Craig Burnet Karen Butler Kathryn Bennett Tony Clarkson Richard Lambie Healthline .................................... 2 Lesley Clarke Janet Harp Heinz Nurture ............................ 34 Susan Dargue Dawn Rennell NZ Doctor/MIMS ....................... 31 Mr Colin Abercrombie Rhonda Jackson Mr Paul Taylor ACC............................................. 46 Moya Field Mr Peter Swift Konnect Net Ltd ........................ 23 Hamish McLachlan Melissa Aubroeck Obex Medical ............................ 22 Jane Young Tracey Cridlin Aspen Pharmacare .................... 15 Wayne Smith Shirley Williamson Medical Assurance Society ....... 20 Fiona Mines Carolyn Leatherby Leigh Wotherspoon Dan Pryce Chris Toy Colin McDougall Simon Parker Pharmaco Healthcare .................. 4 David Pavey MedicAlert. FoundationNew Zealand Inc........................ 36 Mr Murray Lord Mrs Chaithra Prashanth Roche Diagnostics ....................... 7 Lisette Jacob Niki Nelson AstraZeneca New Zealand.. 13, 14 Tanya Coombes Lisa Williamson Robin Janata Kathryn Patrick Bayer Healthcare ....................... 16 Andrea Carter Shelley Clark Tina McCullough BDM Grange .............................. 18 Susan Pace Fiona Stackpole Boehringer Ingelheim ......... 24, 25 Mr Tony Davison Rosie Ford Sheryl Hume CSL Biotherapies ....................... 30 Janine Holt Claire Jackson Janette Martin Douglas Pharmaceuticals.... 39, 40 Conrad Delvo Gail Durry Penny Fisher Pippa Newstead Debora-Dale Young Eli Lilly .................................. 26, 27 Sally Cassell Christina Thomsen Fertility Associates .................... 33 Linley Joplin GlaxoSmithKline .................... 8-10 Teresa Blampied Brad Dry Elly Grant Linda Leydon Meg Lodge Praveen Nalam Jayde Stevenson Medtech ..................................... 35 Sanjeewa Samaraweera Andrew Carmody Phillipa Little Beth Dillon Aki Lee Ministry of Social Development ............................. 45 David Bratt MSD...................................... 47, 48 Michelle Thomson Yvonne McConnell Leigh Gray Brian Booth Dion Townsend Mundipharma.......................... 5, 6 Craig Dagger Geraldean Farquhar Stephanie Fitzgibbon New Zealand Medical & Scientific ................................. 41 Neil Hannard Jo Henderson Novartis NZ Ltd ......................... 19 Mrs Carol Henry Primary Health Care Ltd ...... 11-12 David Brown Repromed .................................. 21 Greg Phillipson Roche Products (NZ) Ltd ..... 42, 43 Heide Anderson Nick Uys Sanofi-Aventis NZ Ltd ......... 37, 38 Grant Browne Sharee Magill Sean O’Flaherty St John ................................. 28, 29 Terry Salmon William Hughes Malcolm Kendall University of Otago .................. 17 Anita Fogarty W M Bamford ............................ 44 Mr Alaister Bamford Cathy Churnside Wayne Titmus Zone Medical ............................. 32 Mr Andrew Cox Mr Dean Jamieson Jacqui Burgess New Zealand Medical Association .................................. 1 Falyn Edlin Mr Cameron McIver Anna Phipps Norgine ........................................ 3 Mr Peter Scott 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 5 6 Companies By Product ADHD 19 - Novartis Advisory Services 1 - New Zealand Medical Association 20 - Medical Assurance Society Education 1 - New Zealand Medical Association 2 - Healthline 17 - Univertsity of Otago 28-29 - St John Electromedical Equipment 28-29 - St John 32 - Zone Medical 36 - MedicAlert Allergy 47 - MSD Appearance Medicine 48 - Abbott Laboratories Arthritis 39-40 - Douglas Pharmaceuticals 47 - MSD 48 - Abbott Laboratories Asthma & COPD 8-10 - GlaxoSmithKline 24-25 - Boehringer Ingelheim Blood Pressure 32 - Zone Medical 44 - W M Bamford 47 - MSD Books 47 - MSD Books/Medical Information 28-29 - St John Cardiovascular 13-14 - AstraZeneca 15 - Aspen Pharmacare 32 - Zone Medical 47 - MSD Compression Hosiery 22 - OBEX Dermatology 30 - CSL Biotherapies 32 - Zone Medical 39-40 - Douglas Pharmaceuticals 44 - W M Bamford Diabetes 4 - Pharmaco Healthcare 7 - Roche Diagnostics 26-27 - Eli Lilly 47 - MSD 48 - Abbott Laboratories Pain Management 39-40 - Douglas Pharmaceuticals 47 - MSD 48 - Abbott Laboratories Political Advocacy 1 - New Zealand Medical Association Fertility 33 - Fertility Associates Practice Management Software 35 - Medtech Financial Services 20 - Medical Assurance Society Pulse Oximetry 32 - Zone Medical Government 45 - Ministry of Social Development 46 - ACC Recruitment/Locum Work 1 - New Zealand Medical Association 11-12 - Primary Health Care Health Advice 2 - Healthline Representation 1 - New Zealand Medical Association Hypertension 47 - MSD Resuscitation 28-29 - St John 32 - Zone Medical Immunisations/Vaccines 30 - CSL Biotherapies 47 - MSD Skincare 18 - BDM Grange Incontinence 30 - CSL Biotherapies Spirometry 32 - Zone Medical Infant Nutrition 34 - Heinz Nurture Supplements 15 - Aspen Pharmacare 39-40 - Douglas Pharmaceuticals 48 - Abbott Laboratories Infertility 21 - Repromed 33 - Fertility Associates Depression 15 - Aspen Pharmacare 47 - MSD Osteoporosis 47 - MSD Erectile Dysfunction 16 - Bayer NZ 26-27 - Eli Lilly Infection Control 32 - Zone Medical Constipation 3 - Norgine Ophthalmology 15 - Aspen Pharmacare 44 - W M Bamford Triage 2 - Healthline Insurance 20 - Medical Assurance Society 23 - Konnect Net Ltd 46 - ACC Women’s Health 16 - Bayer NZ 21 - Repromed 30 - CSL Biotherapies 47 - MSD 48 - Abbott Laboratories Melanoma 41 - New Zealand Medical & Scientific 44 - W M Bamford Wound Care 15 - Aspen Pharmacare 22 - OBEX Movement Disorders (Parkinsons) 15 - Aspen Pharmacare Diagnostics 32 - Zone Medical 41 - New Zealand Medical & Scientific 44 - W M Bamford Nutrition 16 - Bayer NZ 34 - Heinz Nurture Obesity 39-40 - Douglas Pharmaceuticals 48 - Abbott Laboratories 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Exhibition Competition 7 Main Exhibition Prize To encourage interaction between delegates and the exhibition participants* we run a exhibition competition. This meeting’s competition is a sudoku style competition - Medoku by AnneMarie Tangney, republished with permission of New Zealand Doctor. Visit each of the exhibition participants* and pick up a coloured sticker letter from each to complete the sudoku puzzle. Hidden in the grid is a medical word. To solve the puzzle each of the letters must appear in every 3x3 grid as well as in each line (horizontal and vertical). Find the hidden medical word in the puzzle and go into the draw to win travel to Rarotonga and Aitutaki. The prize for the competition is NZD$1,000 towards air travel to Rarotonga. Air Rarotonga will provide 2 airport transfers in Rarotonga & Aitutaki, 2 return airfares to Aitutaki and 3 nights accommodation staying at Tamanu Beach Hotel. The winner will be drawn from correct entries on Fri 13 August and will be notified directly. * Please note: AstraZeneca are not participating in the Poetry Competition due to RMI Code of Ethics. 1 2 7 8 3 9 13 14 18 19 25 26 27 31 32 33 34 38 39 40 43 44 45 5 10 11 12 15 16 17 21 22 23 24 28 29 30 36 37 41 42 35 46 47 6 48 1............. New Zealand Medical Association 2............. Healthline 3............. Norgine 4............. Pharmaco Healthcare 6-5 ......... Mundipharma 7............. Roche Diagnostics 8-10 ....... GlaxoSmithKline 11-12 ..... Primary Health Care 13-14 ..... AstraZeneca 15........... Aspen Pharmacare 16........... Bayer NZ 17........... Univertsity of Otago 18........... BDM Grange 19........... Novartis 20........... Medical Assurance Society 21........... Repromed 22........... OBEX 23........... Konnect Net Ltd 24-25 ..... Boehringer Ingelheim 26-27 ..... Eli Lilly 28-29 ..... St John 30........... CSL Biotherapies 31........... NZ Doctor/MIMS 32........... Zone Medical 33........... Fertility Associates 34........... Heinz Nurture 35........... Medtech 36........... MedicAlert 37-38 ..... Sanofi-Aventis 39-40 ..... Douglas Pharmaceuticals 41........... New Zealand Medical & Scientific 43-42 ..... Roche Products 44........... W M Bamford 45........... Ministry of Social Development 46........... ACC 47-48 ..... MSD 49........... Abbott Laboratories Tear along dotted Line 49 20 4 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 8 Abbott is a global, broad-based healthcare company devoted to discovering new medicines, new technologies and new ways to manage health. Our diverse family of pharmaceutical, medical and nutritional products include a broad range of specialised medicines; medical diagnostic instruments and tests; minimally invasive surgical devices; a spectrum of nutritional supplements for infants, children and adults and products for veterinary care. Our comprehensive line of products encircles life itself - addressing important health needs from infancy to the golden years. Our Products At this year’s GP CME Conference we will be showcasing five product lines: WEIGHT LOSS MANAGEMENT NUTRITIONAL PRODUCTS N Pedialyte® Ensure® Plus TwoCal® HN DIABETES Optium Xceed and FreeStyle Lite Blood Glucose Meters, Optium Blood Ketone Testing PAIN / ARTHRITIS IRON SUPPLEMENT FERROGRAD® C A Promise for Life Friday 6th August Main Conference Friday 6th August 0700-0755 0700-1700 0800-0805 0805-0830 0830-0855 0855-0920 0920-0945 0945-1010 1010-1030 1030-1100 1100-1155 1205-1300 1300-1400 9 Breakfast Session - Manage My Health Registration Chancellor 1 Chair: Welcome Address Chairman NZMA GP Council Chancellor 1 Heart Failure Revisited Management Options for Skin Cancer Issues in Fertility Optimal Breast Cancer Screening Is it really epilepsy? Discussion MORNING TEA & EXHIBITION Concurrent Sessions (55mins) WS1 WS2 WS3 WS5 Sanjeewa Samaraweera Peter Chapman Smith Mark Peterson Hamid Ikram Ken Macdonald Richard Fisher Richard Chisholm Phil Parkin WS6 WS7 WS8 Ballroom 2 Chancellor 5 Chancellor 1 Wellington Auckland Ballroom 1 Christchurch How to.. Interpret ECGs How to .. Fracture Management How to .. Assessing the Dizzy and Deaf How to.. Trigger Point Needling How to.. Smoking Cessation How to .. Spirometry Medtech User Group Hamid Ikram Garry Hooper Philip Bird John Apps Rob Young WS9 WS10 WS11 Ballroom 2 Chancellor 5 Chancellor 1 How to.. Interpret ECGs How to .. Fracture Management Hamid Ikram Garry Hooper LUNCH & EXHIBITION Main Session Chair: Mark Peterson WS 4 is rescheduled to run at 12:05pm ONLY Concurrent Sessions (55mins) WS12 WS13 Lichfield How to .. Why are Patients Assessing the Better off at Dizzy and Deaf Work Philip Bird ACC Speaker Roland Meyer Andrew Carmody WS14 WS15 WS16 Wellington Auckland Ballroom 1 Christchurch How to.. Trigger Point Needling How to.. Smoking Cessation How to .. Spirometry Medtech User Group John Apps Rob Young Roland Meyer Andrew Carmody WS 17 WS 18 WS 19 WS 20 WS 21 WS 22 Ballroom 2 Ballroom 1 Auckland Chancellor 5 Wellington Christchurch Bipolar Disorders and Depression Why won’t my child sleep? Can I go back to work Doc? Pearls of Neurology Appropriate use of Antibiotics Peter Joyce Alex Bartle Sara Souter Phil Parkin Rosemary Ikram How Statins Improve Lung Disease Rob Young Chancellor 1 Healthline: 10 years of new 1400-1425 1o Care Service Ian St George 1425-1450 1450-1515 1515-1540 1540-1600 1600-1630 1630-1650 1650-1710 1710-1730 1730-1750 1750-1800 1830-1930 1930-2030 Hypertenstion and Vitamin D WS 23 WS 24 WS 25 WS 26 WS 27 WS 28 Nigel Harrison Ballroom 2 Ballroom 1 Auckland Chancellor 5 Wellington Christchurch Why won’t my child sleep? Can I go back to work Doc? Pearls of Neurology Appropriate use of Antibiotics How Statins Improve Lung Disease Alex Bartle Sara Souter Phil Parkin Rosemary Ikram New Ideas for an Old Problem: OA Knees Bipolar Disorders and Depression Gary Hooper Ready Steady Crook Peter Joyce David Bratt Rob Young Discussion AFTERNOON TEA & EXHIBITION Chancellor 5 WS 29: 1630-1730 Main Session Chancellor 1 Chair: Sandra Hicks Pre Hospital Care for Trauma David Bowie Musculoskeletal Medicine Workshop Jim Borowczyk Cardiac Emergencies Hamid Ikram Chancellor 5 Road v Fixed Wing v Rotary Wing Response Tony Ward WS 30: 1730-1830 Skiing Injuries Gary Hooper Musculoskeletal Medicine Workshop Jim Borowczyk Discussion Medical Protection Society & Medical Assurance Society Welcome Cocktail Function - Exhibition Room Eli Lilly Symposium - Dr Clive Low “Men, their hearts and private parts” Chancellor 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 10 Saturday 7th August Main Conference Saturday 7th August 0700-1700 0700-0800 Registration NZMA Breakfast Session - Interactive Session on GP Advocacy Chancellor 1 0800-0830 0830-0855 0855-0920 0920-0945 0945-1010 1010-1030 1030-1100 Main Session Chancellor 1 Microbiology in Infectious Disease Influenza Travel Medicine: Not Just Bugs Sexual Health Epidemics Discussion MORNING TEA & EXHIBITION 1100-1155 1205-1300 1300-1400 1400-1455 Chair: John Bulow Rosemary Ikram Rob Young David Hammer Heather Young Rosemary Ikram CONCURRENT PROGRAMMES MAS SUMMIT AMSNZ / CAA Holiday Inn (Level 11) Refer next page 0830-1300 Holiday Inn (Level 1) Refer next page 0830-1700 Holiday Inn (Level 2) Refer next page 0800-1730 Lichfield Ballroom 2 Gloucester Concurrent Sessions (55mins) WS34 WS35 WS36 WS32 WS33 Chancellor 5 Wellington Auckland Salisbury Travel Medicine Case Studies Breast Cancer Diagnosis Performing Vasectomies Cardiac Case Studies David Hammer Richard Chisholm Bruce Sutherland & John Apps Nigel Harrison Chancellor 1 WS39 WS40 Wellington Auckland Salisbury Travel Medicine Case Studies Breast Cancer Diagnosis Performing Vasectomies Cardiac Case Studies David Hammer Richard Chisholm Bruce Sutherland & John Apps Nigel Harrison Chancellor 1 Nurses Programme WS37 WS38 Christchurch Ballroom 1 Lumps & Bumps in Guidelines v EBM: the Head & Neck Respiratory Case Studies Robert Allison Roland Meyer Concurrent Sessions (55mins) WS41 WS42 WS43 Chancellor 5 Chair: Peter Foley So What if Your Patient Happens to Fly Claude Preitner WS44 WS45 Christchurch Ballroom 1 Lumps & Bumps in Guidelines v EBM: the Head & Neck Respiratory Case Studies Robert Allison Roland Meyer So What if Your Patient Happens to Fly Claude Preitner LUNCH & EXHIBITION Concurrent Sessions (55mins) WS48 WS49 WS50 WS46 WS47 WS51 WS52 Christchurch Auckland Salisbury Chancellor 1 Chancellor 5 Ballroom 1 Wellington A Prescribers Guide to the Galaxy Palliative Care as a Team Medtech User Group Case Studies in Common GP Skin Conditions Eye Case Studies Hypertension Sean Every Hamid Ikram Brian Almand Katherine Grundy Andrew Carmody Ken Macdonald 1505-1600 Concurrent Sessions (55mins) WS55 WS56 WS53 WS54 Christchurch Auckland Salisbury A Prescribers Guide to the Galaxy Palliative Care as a Team Medtech User Group Brian Almand Katherine Grundy Andrew Carmody WS57 WS58 Chancellor 1 Chancellor 5 Ballroom 1 Case Studies in Common GP Skin Conditions Eye Case Studies Hypertension Sean Every Hamid Ikram Hands on Ultrasound in GP 120 mins Phil Weeks Ken Macdonald 1600-1630 1630-1730 1900-2400 1900-1930 1930-1940 2010-2110 2115-2300 2300-2400 AFTERNOON TEA & EXHIBITION Main Session Chancellor 1 Medical Protection Society - Hot Issues: What’s New in the Medicolegal Workplace CONFERENCE DINNER Chancellor 1 Pre dinner drinks Welcome Speeches Guest Speaker Dance to band Bledisloe Cup Rugby Replay from 11:00pm 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Brendan Gray, Tim Cookson Saturday 7th August Saturday 7th August 0700-1700 0700-0800 11 Practice Nurses Programme Registration NZMA Breakfast Session - Interactive Session on GP Advocacy Chancellor 1 Chair: Peter Foley MAIN PLENARY SESSSION (with GPs) 0800-1030 1030-1100 Main Session Chancellor 1 Refer Saturday GP Programme 1100-1125 1125-1150 1150-1215 1215-1240 1240-1300 1300-1400 1400-1425 1425-1450 1450-1515 1515-1530 MORNING TEA & EXHIBITION PRACTICE NURSES ONLY Ballroom 2 Managing Pelvic Malignancy Dispensing to the Elderly Hepatitis B and C 101 Eye Pot Pourri Discussion - Q and A panel LUNCH & EXHIBITION Screening for Breast Cancer Healing Leg Ulcers The Joys of Vitamin D Discussion - Q and A panel 1530-1600 1600-1700 1700-1730 1900-2400 AFTERNOON TEA & EXHIBITION Immunisation Workshop Discussion Conference Dinner - Dine and Dance (with entertainment) Saturday 7th August Gloucester 0830-1030 1030-1100 1100-1300 1300-1400 0830-0900 0900-0930 0930-1000 1000-1030 1030-1100 1100-1130 1130-1200 1200-1230 1300-1400 1330-1500 1500-1530 1530-1700 Ai Ling Tan Brian Almand Ed Gane Sean Every Richard Chisholm Peter Chapman-Smith Nigel Harrison Linda Hill Medical Assurance Society Business Summit Gloucester Room, Level 11, Holiday Inn WS 31 - MAS Business Summit “The Essentials of Staff Management” MORNING TEA AND EXHIBITION WS 71 - MAS Financial Session “Practical Financial Management” LUNCH & EXHIBITION Saturday 7th August Lichfield Holiday Inn Level 2 Chris Wills Chris Wills & John Glue AMSNZ/CAA Meeting Lichfield Room, Level 1, Holiday Inn Six D’s - Delicately distinguishing denial & deception in dependant drinkers Hypoxia for glider pilots Telemedicine in the Aviation Industry MORNING TEA (Holiday Inn) Cochlear implants Practical colour vision testing Case Presentations General Meeting & Discussion LUNCH & EXHIBITION (Hotel Grand Chancellor) CAA Update for Medical Practitioners AFTERNOON TEA (Holiday Inn) CAA Update for Medical Practitioners Continued 6-8 August 2010 | Hotel Grand Chancellor | Christchurch James Foulds Ben Johnston & Roger Read Dawn Dart Tim Rumball Tim Sprott 12 Sunday 8th August General Practice Programme Sunday 8th August 0730-0830 Breakfast Session - Shaun Holt: How to ACT to Improve Asthma Outcomes Chancellor 1 Chair:Elspeth Dickson Main Session WS59 WS60 WS61 WS62 WS63 WS64 Chair: Martin London Chancellor 5 Ballroom 1 Auckland Ballroom 2 Christchurch Wellington Chancellor 1 0830-0855 Better Community Respiratory Care Musculoskeletal Radiology Cases Hot tips in Rheumatology Gynaecologic Cancer Phil Weeks Daniel Ching Ai Ling Tan Roland Meyer 0855-0920 0920-0945 0945-1010 CT Colonography Prescribing for Anxiety and Depression Anton Wiles Brian Almand Vaccinations for Travellers David Hammer Adrian Balasingam Glaucoma 101 WS65 WS66 WS67 WS68 WS69 WS70 Wellington Ballroom 2 Christchurch Auckland Chancellor 5 Ballroom 1 Musculoskeletal Radiology Cases Hot tips in Rheumatology Gynaecologic Cancer Aviation Medicals Expanding Horizons Prescribing for Anxiety and Depression Vaccinations for Travellers Phil Weeks Daniel Ching Ai Ling Tan Anton Wiles Brian Almand Sean Every Wilderness Medicine John Apps 1010-1025 1025-1030 Discussion Industry Prize Announcements 1030-1100 MORNING TEA & EXHIBITION Main Session Chancellor 1 1100-1125 1125-1150 1150-1215 1215-1230 1230-1300 1300 Aviation Medicals Expanding Horizons Biologics in Inflammatory Rheumatic Diseases A New Screening Tool for Hepatitis C Atrial Fibrillation Discussion Clinical Quiz Conference Closes Chair: David Hammer Peter Chapman Smith Daniel Ching Ed Gane Hamid Ikram Hamid Ikram Ocean to Alps - Christchurch 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 13 Speakers Biographies Dr Robert Allison, Otolaryngologist, ENT Surgeon, Christchurch Public Hospital Mr Brian Almand, Pharmacist, HVDHB Hutt Hospital Pharmacy, Wellington Dr John Apps, General Practitioner, Westport Dr Adrian Balasingam, Radiologist, Christchurch Radiology Group, Christchurch Dr Alex Bartle, Director, Sleep Well Clinic, Auckland Mr Philip Bird, Otolaryngologist, Christchurch Public Hospital, Christchurch Dr Jim Borowczyk, Musculoskeletal Physician, Christchurch Dr David Bowie, Intensive Care Specialist, Specialist Anaesthetist, Canterbury DHB Dr David Bratt, Principal Health Advisor to the Ministry of Social Development Mr Andrew Carmody, Project Director, Medtech Dr Peter Chapman-Smith, Skin and Vein Clinic, Whangarei Dr Daniel Ching, Consultant Rheumatologist, Timaru Hospital Dr Richard Chisholm, Obstetric radiologist, Christchurch Women’s Hospital Dr Sean Every, Ophthalmologist & Vitreo-Retinal Surgeon, Christchurch Eye Department Dr Richard Fisher, Medical Director and Co-founder, Fertility Associates Dr Peter Foley, Chairman of the New Zealand Medical Association, Hawkes Bay Assoc Prof Ed Gane, Hepatologist, Auckland City Hospital Mr John Glue, Business Advisor, Medical Assurance Society Dr Brendan Gray & Dr Tim Cookson, Medical Protection Society Dr Katherine Grundy, Clinical Director, Christchurch Hospital Palliative Care Service Dr David Hammer, Clinical Microbiologist, MedlabSouth Dr Nigel Harrison, Consultant Physician and Head of Cardiology, Whangarei Hospital RN Linda Hill, Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre Dr Shaun Holt, Research Review, Tauranga Assoc Prof Gary Hooper, HOD, Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine Professor Hamid Ikram, Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist, Christchurch Dr Rosemary Ikram, Clinical Microbiologist, MedlabSouth Professor Peter Joyce, Dean of the University of Otago, Christchurch Dr Ai Ling Tan, Gynaecological Oncologist at, ADHB and Ascot Central Women’s Clinic, Auckland Dr Ken Macdonald, Dermatologist, Dermatologic Surgeon, Christchurch Dr Roland Meyer, Respiratory Physician, Southern DHB, Southland Hospital Dr Philip Parkin, Consultant Neurologist, Christchurch Hospital, Christchurch Dr Mark Peterson, Chair NZMA GP Council, Napier Dr Claude Preitner, Senior Medical Officer, Civil Aviation Authority of NZ Mr Sanjeewa Samaraweera, Managing Director, Medtech Dr Sara Souter, Occupational Medicine Specialist, Christchurch Dr Ian St George, General Practitioner, Medical Director, McKesson New Zealand, Wellington Dr Bruce Sutherland, General Practitioner, Warkworth Mr Tony Ward, Senior Helicopter Crewman, Advanced Paramedic/RN, Christchurch Dr Phil Weeks, Director of Ultrasound, Middlemore Hospital, Auckland Dr Anton Wiles, General Practitioner, Auckland Ms Chris Wills, Business Advisor, Medical Assurance Society Dr Heather Young, Sexual Health Physician,Christchurch Sexual Health Clinic, Christchurch Hospital Dr Rob Young, General Physician, Associate Professor of Medicine and Molecular Genetics 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 14 Biographies & Sessions Speakers Biographies Dr Robert Allison Robert Allison (MB ChB DCH FRACS) Consultant ENT Surgeon works in both public and private practice in Christchurch. He completed fellowships in the UK and Holland in Head and Neck Surgery. In addition to his clinical activities, he has positions as Adjunct Professor (University of Canterbury) and Clinical Lecturer (Christchurch Clinical School of Medicine) and is involved in undergraduate teaching. He is also actively involved in Registrar teaching. He is an examiner with the Royal Australasian College of Surgeons. His clinical interests include Paediatric Otolaryngology, Thyroid and Salivary gland surgery and the management of Head and Neck tumours. He and wife, Sue, have four children (12-19 years) and live on a lifestyle block of 30 acres north of Christchurch with 137 animals (at last count!). Lumps and Bumps in the Head and Neck - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 Dr Brian Almand I have fourteen years of pharmacy practice, with less than one year in community pharmacy. For the past eleven and a half years I have been working in and out of the Hutt Hospital Pharmacy, all of that time associated with the Acute Psychiatry Ward. Within the pharmacy I am an Intern Preceptor and supervise a number of our functions including regular House Surgeon education by our team of pharmacists, I am also involved with the Hutt Hospital Drug and Therapeutics Committee and the Hutt Valley District Health Board Pharmacy Reference Group. For the last five years I have been employed half time by the Hutt Valley District Health Board Community Mental Health Services working closely with the various teams and responding to General Practitioner referrals where specific medicines information is appropriate. Most recently I have completed studies toward the Postgraduate Certificate in Psychiatric Therapeutics by correspondence through Aston University in the United Kingdom. My role in psychiatry includes medication review usually associated with my regular attendance at six adult mental health Multiple Disciplinary Team meetings each week, including that of the Psychogeriatric team; frequent medication and therapeutics education for various professional groups and question & answer session with a number of outpatient groups, individual inpatients and their families; provision of medicines information for psychotropic medications, maternal mental health and neurology; full time availability for consultation by anyone, I carry a pager and a cellphone! I am also involved in a good deal of behind the scenes communication between the various teams. I have received speakers honoraria from the NZ Healthcare Pharmacists Association, Epilepsy New Zealand, Eli Lilly & Co. and have consulted for Parkinson’s New Zealand and Weltec. Dispensing to the Elderly - Practice Nurses Programme Saturday, 7 August 2010 Start 11:25am Duration: 25mins Holiday Inn Ballroom 2 A Prescribers Guide to the Galaxy - Concurrent Workshops Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Prescribing for Anxiety and Depression - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 15 Speakers Biographies Dr John Apps Dr John Apps has been a rural GP in Westport for 4 years. Trained in the UK, he worked in NHS General Practice & A&E Medicine, in addition to running a vasectomy clinic and delivering advanced pre-hospital emergency care. Frustrated with the lack of effective treatment for musculo-skeletal pain, he trained in western style acupuncture focussing on trigger point identification and needling. After 19 years, he left the NHS to concentrate on his main clinical interests of pre- hospital emergency & wilderness medicine, event medical cover, vasectomy service provision and trigger point needling. Due to lack of attention, he somehow ended up with an Occupational Health business as well! Wilderness experience includes six Antarctic seasons, high altitude Himalayan trips, extreme marathon events and a recent military tour in Afghanistan’s Helmand province. John lives with his partner, Sue, on a 50 acre forestry block on the wonderful West Coast, where they experiment with self-sufficiency & home-brew. How to .. Trigger Point Needling - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Wellington Wellington Performing Vasectomies - Concurrent Workshop Repeated (with Dr Bruce Sutherland) Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Auckland Auckland Start 9:45am Duration: 25mins Chancellor 1 Wilderness Medicine Sunday, 8 August 2010 Dr Adrian Balasingam Dr Balasingam is a subspecialist Gastro-Intestinal Radiologist working at Christchurch Hospital and is a partner of the Christchurch Radiology Group. He is lead radiologist for the Canterbury Colorectal Cancer Multi-Disciplinary Team. He sits on several CT Colonography (CTC) and Bowel Cancer committees both in New Zealand and Australia and has also contributed to the International Collaboration for CTC Standards. He has also involved with the establishment of CTC in Canterbury and around New Zealand which has included both registrar and consultant training. Dr Balasingam is currently Director of Registrar Training at Christchurch Hospital. CT Colonography Sunday, 8 August 2010 Start 8:55am Duration: 25mins Chancellor 1 Dr Alex Bartle Alex was a GP in Christchurch from 1978 until 2007, and in 2000 began a sleep medicine practice, The Sleep Well Clinic, alongside his General Practice. In April 2007 Alex left General Practice to concentrate on the Sleep Well Clinics in Christchurch, Auckland and Wellington. He now has additional clinics in Tauranga and Whangarei. The Sleep Well Clinic is designed to offer assessment and treatments for all sleep disorders from Snoring and Sleep Apnoea to Insomnia, from Shift Work to children’s sleep difficulties and the Parasomnias. Alex is on the Education Sub- Committee of the Australasian Sleep Association, and an inaugural member of the Asia Pacific Paediatric Sleep Alliance. He was a co-author of the NZ Guidelines for sleep disordered breathing in children. In 2009 he completed his Masters Degree in Sleep Medicine through Sydney University. Alex regularly presents seminars to international and national conferences, and industry. Why Won’t my Child Sleep? - Concurrent Breakout Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 16 Biographies & Sessions Speakers Biographies Dr Philip Bird Philip Bird is a otolaryngologist at Christchurch Public Hospital and a Senior Lecturer in Surgery at the University of Otago. He received his specialist training in Wellington and Christchurch and then undertook a fellowship in Otology, Neurotology and lateral skull base surgery at the University of Miami. He is actively involved in research with colleagues at the universities of Otago and Canterbury, specifically in drug delivery to the inner ear and inner ear effects of middle ear interventions. He is in private practice in Christchurch with a special interest in paediatric and adult otology. Assessing the Dizzy and Deaf - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 Dr Jim Borowczyk Jim Borowczyk is a Musculoskeletal Physician based in Christchurch. He works in private musculoskeletal practice, and is Academic Coordinator for Postgraduate Musculoskeletal Studies, Christchurch School of Medicine and Health Sciences, University of Otago. A graduate of Edinburgh, he has been in New Zealand for over 30 years, and has postgraduate qualifications from both the University of Otago, and the University of Newcastle in New South Wales. His principal clinical and research interests include the use and assessment of pain intervention techniques for spinal pain. His other interests include improving the delivery of postgraduate medical education to students, both in New Zealand and worldwide. Jim is married to a general practitioner. They have four children. MusculoSkeletal Medicine Workshop - Concurrent Workshop Repeated Spondylosis, Facet Joint Arthropathy, and Pain Friday, 6 August 2010 Start 4:30pm Start 5:30pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Dr David Bowie David is a specialist in Intensive Care and Anaesthesia. He graduated from Otago Medical School in 1978 and has been a specialist since 1985. He works in Christchurch Hospital where his main work commitment is to Intensive Care but he is also the Clinical Leader of the Canterbury Air Retrieval Service and the Intensive Care liaison officer to the Burwood Spinal Unit Home Ventilation Service. He also maintains his Anaesthesia practice in Christchurch Hospital. He is married with 3 children. It is worth noting that all of the female members of his family are either nurses or nurses in training and his son is a secondary school teacher. Pre Hospital Care for Trauma Friday, 6 August 2010 Start 4:30pm Duration: 20mins Chancellor 1 Dr David Bratt Dr David Bratt, Principal Health Advisor to the Ministry of Social Development Ready Steady Crook Friday, 6 August 2010 Start 3:15pm Duration: 25mins Chancellor 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 17 Speakers Biographies Mr Andrew Carmody Andrew has a strong IT / Software sales, Project Director and executive management background with roles in the last 10 years as General Manager, Chief Operating Officer and Chief Technology Officer with ECN Group and Sopheon NZ. Prior to this he was a senior manager at New Zealand Post undertaking HR, Marketing and Business Development roles. An experienced project manager and director he has been responsible for the design, development and successful delivery of numerous software and IT service based projects. Andrew also brings a wealth of change, process and business improvement expertise and experience and is passionate about ensuring that a high quality service is consistently delivered to customers. He holds a Masters of Management from Victoria University (Wellington). Medtech User Group - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Medtech User Group - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Holiday Inn Salisbury Holiday Inn Salisbury Dr Peter Chapman-Smith Dr Peter Chapman-Smith is a Fellow of the Australasian College of Phlebology, an appearance medicine physician, performing skin cancer and minor cosmetic surgery, tumescent liposuction and directs a skin laser suite. Phlebology is his main field of current practice, having performed over 900 endovenous laser ablation (EVLA) under tumescent anaesthesia and 7000 ultrasound guided sclerotherapy (UGS) procedures. With regular clinics in Whangarei, Hibiscus Coast and Queenstown, he started the Otago non surgical varicose veins service in 2006. He has presented vein papers internationally in Rio de Janiero 2005, Tucson 2007, Monaco 2009, and regularly for the ACP in Australasia. He published a 5 year prospective research report on foam UGS in Phlebology in August 2009, and is a teacher appointed by the Australasian College of Phlebology. Peter is an affiliated provider of non surgical varicose vein treatment as well as for skin cancer surgery for Southern Cross Healthcare NZ. Healing Leg Ulcers - Practice Nurses Programme Saturday, 7 August 2010 Start 2:25pm Duration: 25mins Holiday Inn Ballroom 2 Dr Daniel Ching Daniel Ching is a Consultant Rheumatologist at Timaru Hospital but also provides a private rheumatology service from Ashburton to Stewart Island. He runs a rheumatology Clinical Trials centre in Timaru, testing the new targeted therapies. He also has clinical interests in polymyalgia rheumatica, giant cell arteritis, patient education and enjoys seeing patients with fibromyalgia! He is the Honorary Secretary of the New Zealand Rheumatology Association. Hot Tips in Rheumatology - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Holiday Inn Ballroom 2 Holiday Inn Ballroom 2 Duration: 25mins Chancellor 1 Biologics in Inflammatory Rheumatic Diseases Sunday, 8 August 2010 Start 11:00am 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 18 Biographies & Sessions 19 Speakers Biographies Dr Richard Chisholm Diagnostic radiologist, Christchurch Radiology Group, with special interest in ultrasound and breast imaging. Obstetric radiologist, Christchurch Women’s Hospital Clinical Director, Breastscreen South, the lead provider for The National Breast Screening Programme covering Nelson,Marlborough,Canterbury and West Coast. Postgraduate fellowship in Gastro-intestinal interventional radiology and ultrasound, Vancouver General Hospital 1983-84. Optimal Breast Cancer Screening Friday, 6 August 2010 Start 9:20am Duration: 25mins Chancellor 1 Breast Cancer Diagnosis - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Wellington Wellington Screening for Breast Cancer - Practice Nurses Programme Saturday, 7 August 2010 Start 2:00pm Duration: 55mins Holiday Inn Ballroom 2 Dr Sean Every Dr Sean Every is an ophthalmologist specialising in vitreo-retinal surgery. He is a graduate of Auckland Medical School and (following a year of GP registrar training in Dunedin) entered ophthalmology training in Christchurch and Dunedin. Following a year completing a MMedSci he did a two year fellowship in vitreo-retinal surgery in Oxford returning to Christchurch in 2006. He divides his time between the Christchurch Public Eye Department and private consulting at Southern Eye Specialists. His research interests include the surgical management of retinal vein occlusion. Achieving mediocre results in the Coast to Coast race keeps him busy on the weekend. Eye Pot Pourri - Practice Nurses Programme Saturday, 7 August 2010 Start 12:15pm Duration: 25mins Holiday Inn Ballroom 2 Eye case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Start 9:20am Duration: 25mins Chancellor 1 Glaucoma 101 Sunday, 8 August 2010 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 20 Biographies & Sessions Speakers Biographies Dr Peter Foley Dr Peter Foley is a third generation Hawkes Bay doctor, who graduated in medicine from Otago University in 1981. He has practised as a GP in Hawkes Bay for over 25 years. In a historic first, he is serving a second term as Chairman of the New Zealand Medical Association. Dr Foley has vast experience in medical politics, having been the chair of the NZMA’s General Practitioner Council, and then the General Practice Leaders Forum. He was first elected to the overall chairmanship of the NZMA in 2007. NZMA Breakfast Session - Interactive Session on GP Advocacy Saturday, 7 August 2010 Start 7:30am Duration: 45mins Chancellor 1 Dr Richard Fisher Richard is a co-founder of Fertility Associates, New Zealand’s largest provider of infertility services. He remains primarily a clinician whilst building a significant research effort within Fertility Associates. He is the country’s foremost spokesperson on fertility matters and has an active interest in the integration of public and private health care across the disciplines of clinical medicine, research and teaching. Richard was the first New Zealander to be President of the Fertility Society of Australia (FSA) and was recognised in the New Year Honours as a Companion of the New Zealand Order of Merit for his services to medicine. Issues in Fertility Friday, 6 August 2010 Start 8:55am Duration: 25mins Chancellor 1 Associate Professor Ed Gane Ed Gane is Associate Professor of Medicine at the University of Auckland, New Zealand and Deputy Director of the New Zealand Liver Transplant Unit at Auckland City Hospital. Ed trained in hepatology at the Institute of Liver Studies, King’s College School of Medicine, London, where he completed a thesis on the pathogenesis of hepatitis C-related liver injury. On his return to New Zealand in 1996, Ed was appointed Chief Transplant Physician for the first New Zealand Liver Transplant programme. In addition, he runs the National Hepatoma Clinic as well as hepatitis clinics at both Auckland and Greenlane Hospitals. Ed has been the Government Clinical Advisor to the National Hepatitis B Screening Programme since its inception in 1998. Since 2007, Ed has chaired the Ministry of Health Hepatitis C Treatment Advisory Board and this year was appointed MoH Champion for HCV. Ed is Principal Investigator for many international clinical trials of therapies for chronic HBV, HCV, and hepatocellular carcinoma and runs a phase I research centre focusing on new molecular agents targeted against viral hepatitis. Ed has written 10 chapters and published over 120 papers in peer-reviewed journals including The Lancet and The New England Journal of Medicine Hepatitis B and C 101 - Practice Nurses Programme Saturday, 7 August 2010 Start 11:50am Duration: 25mins Holiday Inn Ballroom 2 Duration: 25mins Chancellor 1 A new screening tool for Hepatitis C Sunday, 8 August 2010 Start 11:25am 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 21 Speakers Biographies Mr John Glue John has been with MAS for 6 years, firstly as a Senior Advisor in Dunedin, then Lending Advisor for all of the South Island. He is now a Senior Advisor, based in Christchurch with a mix of Southland, Otago and Christchurch Members. John joined MAS with a background in Business & Property Banking with DFC, the TrustBank Group, and Westpac. Several of the MAS member groups that John looks after have used Medical Securities funding to develop merged practices and have subsequently developed new premises to accommodate those larger new entities. MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session (with Ms Chris Wills) Saturday, 7 August 2010 Start 11:00am Duration: 120mins Holiday Inn Gloucester Dr Brendan Gray & Dr Tim Cookson Drs Brendon Gray and Tim Cookson are both medico-legal consultants with the Medical Protection Society. Tim has been a GP in a central Wellington city practice for many years and joined MPS as a medicolegal consultant in 2005. He lectures at Wellington Medical School and is involved in the GP Registrar training programme nationwide. His other interests include biking, wine tasting and high country adventures with his two sons. Brendon is a public health medicine specialist and former GP with a specialist interest in medical law. Brendon has an LLB from the University of London and is a Fellow of the Australasian College of Legal Medicine. He joined MPS in 2009. His particular interest is in health law policy and he has worked for the government in the past on a review of the national cervical screening programme register, the Public Health Bill and the review of the storage and use of Guthrie cards. He has two young children and lives in Wellington. Brendon and Tim will review recent health law policy development that affects general practitioners and cover some recent court and tribunal decisions. Hot Issues : What’s new in the Medicolegal Workplace? - Medical Protection Society Session Saturday, 7 August 2010 Start 4:30pm Duration: 90mins Chancellor 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 22 Biographies & Sessions Speakers Biographies Dr Katherine Grundy Kate Grundy is the Clinical Director of the Christchurch Hospital Palliative Care Service which she established in 1999. She works alongside three Specialist Nurses and supervises both basic physician trainees and advanced trainees in palliative medicine. Her main academic interest is education with a significant undergraduate teaching commitment both in the field of palliative medicine and ethics. She also teaches nursing and Allied Health staff as well as travelling throughout the South Island conducting lectures and workshops. Current areas of interest are Advance Care Planning, methadone as an analgesic, intra-spinal analgesia and motor neuron disease. Kate is the current Chair of the Palliative Care Council of New Zealand and is a member of Cancer Control New Zealand. She is the immediate past President of the Australasian Chapter of Palliative Medicine which is part of the RACP. Kate lives on a 10 acre lifestyle block near Oxford, North Canterbury, with her husband and two daughters. Palliative Care as a Team - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Auckland Auckland Dr David Hammer Since the age of eight, when he saw a television documentary on rabies, David has been fascinated by microbes. He entered medicine for the bugs. He studied for his MBChB on the slopes of Table Mountain and after working for a year at Groote Schuur Hospital, he undertook a four year tour of duty in the warzone that is the UK NHS. During that time he passed MRCP. He then made one of the best decisions of his life and immigrated to New Zealand, along with his wife and two moggies. After a brief spell in Auckland, he moved to Christchurch and undertook the FRCPA. He now works part time as a clinical microbiologist and travel health advisor for MedlabSouth. He is also pursuing interests in multidrug resistant bacteria and infection control. Travel medicine - not just bugs Saturday, 7 August 2010 Start 8:55am Duration: 25mins Chancellor 1 Travel Medicine Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Vaccinations for Travellers - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 23 24 Biographies & Sessions Speakers Biographies Dr Nigel Harrison Nigel qualified in London at Charing Cross Hospital Medical School in 1979. While serving in the Royal Air Force he trained as a physician and specialised in Cardiology. On leaving the RAF in 1996 he served as the sole Cardiologist on the Isle of Man for 10 years before emigrating to New Zealand in 2006. He is currently a consultant physician and Head of Cardiology at Whangarei Hospital. He has a special interest in Integrative Medicine, combining evidence-based natural therapies with orthodox medicine. He is studying with the Australasian College of Nutritional and Environmental Medicine (ACNEM) and is a member of the Australasian Integrative Medicine Association (AIMA). Hypertension and Vitamin D Friday, 6 August 2010 Start 2:25pm Duration: 25mins Chancellor 1 Cardiac Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Holiday Inn Salisbury Holiday Inn Salisbury The Joys of Vitamin D - Practice Nurses Programme Saturday, 7 August 2010 Start 2:50pm Duration: 25mins Holiday Inn Ballroom 2 RN Linda Hill Registered Nurse and Regional Immunisation Advisor, South Island for the Immunisation Advisory Centre. Linda comes from a strong Practice Nurse background, and has worked closely with children and their families who have complex health issues with an aim to improve their overall health and wellbeing. Linda represents the Immunisation Advisory Centre. Immunisation Workshop - Practice Nurses Programme Saturday, 7 August 2010 Start 4:00pm Duration: 60mins Holiday Inn Ballroom 2 Professor Shaun Holt Professor Shaun Holt is the founder of Clinicanz, New Zealand’s only clinical trials Site Management Organisation. Previously, he was the founder of P3 Research, an independent clinical trials unit based in Wellington and Tauranga, and Research Review, a company that produces regular reviews of the medical literature for health professionals. He is Ex-Medical Director of Clinical Trials in the Wellington Asthma Research Group. Shaun holds Pharmacy and Medicine degrees, has been the Principal Investigator in over 50 clinical trials and has over 80 publications in the medical literature. He is Honorary Research Fellow at the Medical Research Institute of New Zealand, an Advisor to the Asthma and Respiratory Foundation, a regular contributor on TVOne’s Breakfast programme and national radio shows and lectures at the Victoria University of Wellington. How to ACT to Improve Asthma Outcomes Sunday, 8 August 2010 Start 7:30am Duration: 45mins Chancellor 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 25 Speakers Biographies Associate Professor Gary Hooper Associate Professor and Head of Department, Orthopaedic Surgery and Musculoskeletal Medicine, Christchurch School of Medicine and Health Sciences. Current president of the New Zealand Orthopaedic Association. He has been a consultant Orthopaedic Surgeon with the Canterbury District Health Board since 1985. His main areas of interest include knee injuries and adult reconstructive hip and knee surgery. He runs a research group specialising in bioengineering of articular cartilage, spinal regeneration, joint replacement outcomes and fracture healing. Married to Leigh (General practitioner) with 3 adult daughters. Interests include golf, fishing, wood turning, and holidays in the sun. Fracture management - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Start 2:50pm Duration: 25mins Chancellor 1 Start 5:30pm Duration: 20mins Chancellor 1 New Ideas for an Old Problem - OA Knees Friday, 6 August 2010 Skiing Injuries Friday, 6 August 2010 Professor Hamid Ikram Clinical Professor of Medicine, University of Otago, and Consultant Cardiologist. Medical education in the United Kingdom, and Canada. Cardiological training in the General Infirmary at Leeds, the Charing Cross Hospital , London, the Hammersmith Hospital, London and the University Hospital, Edmonton, Alberta, Canada. Appointed Consultant Cardiologist to the North Canterbury Hospital Board in 1974. Served as Head of Department from 1978 to 2002. Since retirement and have continued with private practice at St George’s Hospital. Chairman, Cardiac Society of Australia and New Zealand (New Zealand Region) Extensive experience with undergraduate and postgraduate medical education all over the world.Over 300 publications chiefly in peer-reviewed journals, presentations at congresses and postgraduate courses. Other interests include cricket at provincial, University and club levels in Pakistan, the United Kingdom and New Zealand. Liaison officer for the Pakistan and Sri Lankan test teams touring New Zealand and Australia. Extensive speaking engagements in non-medical functions and after-dinner speeches. Territorial Army service in the United Kingdom and New Zealand. Retired as Commanding Officer off a Field Ambulance based at Burnham military camp. Heart Failure Revisited Friday, 6 August 2010 Start 8:05am Duration: 25mins Chancellor 1 Interpreting ECGs - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 2 Holiday Inn Ballroom 2 Start 4:50pm Duration: 20mins Chancellor 1 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 Start 11:50am Duration: 25mins Chancellor 1 Start 12:30pm Duration: 30mins Chancellor 1 Cardiac Emergencies Friday, 6 August 2010 Hypertension - Concurrent Workshop Repeated Saturday, 7 August 2010 Atrial Fibrillation Sunday, 8 August 2010 Clinical Quiz Sunday, 8 August 2010 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 26 8FNBLFTVSFZPV±SFXFMMDPWFSFE 0VSQSJPSJUZJTUPFOTVSFPVS.FNCFSTIBWFUIF SJHIUJOTVSBODFDPWFS #FDBVTF."4JTNBEFVQPG.FNCFSTXIPBSFQSPGFTTJPOBMTMJLFZPVXFVOEFSTUBOEZPVSJOTVSBODFOFFET *U±TPVSQSJPSJUZUPIFMQ.FNCFSTHFUUIFSJHIUDPWFS¬GSPNDBSBOECPBUJOTVSBODFUPIPVTFBOEDPOUFOUT )BWJOHJOTVSBODFDPWFSXJUI."4NFBOTZPVLOPXZPV±MMCFMPPLFEBGUFSJGUIJOHT TIPVMEHPXSPOH0VSDPWFSJODMVEFTGBTUIBTTMFGSFFDMBJNTTFUUMFNFOUBOEB FNFSHFODZBTTJTUBODFTFSWJDF¬TPZPVLOPXZPV±MMCFXFMMDPWFSFE AS14433GPCME $BMMVTUP¹OEPVUBCPVUUIFCFOF¹UTPGJOTVSJOHXJUI."4 7JTJUVTPOMJOFBUNFEJDBMTDPO[ /PSNBMVOEFSXSJUJOHDSJUFSJBBQQMZGPSBMMJOTVSBODFQSPEVDUT Biographies & Sessions 27 Speakers Biographies Dr Rosemary Ikram Dr Rosemary Ikram is a Clinical Microbiologist who is employed at Medlab South Ltd. Christchurch. She graduated from Charing Cross Hospital Medical School and started training as a Microbiologist prior to leaving the UK in 1974. In New Zealand she worked in General Practice and Family Planning for 7 years prior to completing her pathology training at Christchurch Hospital in 1986. She worked as a specialist in Christchurch Hospital until taking up a full time post at Medlab South Ltd. Her key areas of interest are community microbiology and epidemiology. Research topics have included epidemiology of resistant Streptococcus pneumoniae in New Zealand, epidemiology and laboratory diagnosis of infectious diarrhea and more recently antimicrobial resistant organisms in New Zealand. She also runs an Infection Control Service which has a community focus. Appropriate Use of Antibiotics - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Wellington Wellington Start 8:00am Duration: 30mins Chancellor 1 Start 9:45am Duration: 25mins Chancellor 1 Microbiology in Infectious Disease Saturday, 7 August 2010 Epidemics Saturday, 7 August 2010 Borowczyk Professor Peter Joyce Professor Peter Joyce is the Dean of the University of Otago, Christchurch. Prior to taking up this position he had been Professor and Head of the Christchurch Department of Psychological Medicine since 1986. He has had longstanding and continuing clinical and research interests in bipolar disorder and depression. His research has also included work on eating disorders, personality, suicide, epidemiology, neurobiology and molecular genetics. He is also the current Editor of the Australian and New Zealand Journal of Psychiatry. Bipolar Disorders and Depression - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 2 Holiday Inn Ballroom 2 Dr Ai Ling Tan Ai Ling is a graduate of Adelaide University, having completed her O+G training in Auckland and UK, subsequently sub specialised in Gynaecology Oncology in Australia. Ai Ling works as a gynaecological oncologist at ADHB and privately at Ascot Central Women’s Clinic, Auckland. She maintains close links with colleagues by participating and lecturing at conferences and being an active member of local and international gynaecology cancer societies. Ai Ling is keen to support the community and is involved in charitable work locally and overseas. She is currently a board member of the Silver Ribbon Gynaecology Cancer Foundation. Managing Pelvic Malignancy - Practice Nurses Programme Saturday, 7 August 2010 Start 11:00am Duration: 25mins Holiday Inn Ballroom 2 Gynaecologic Cancer - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Christchurch Christchurch 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 28 Biographies & Sessions Speakers Biographies Dr Ken Macdonald Dr Ken Macdonald practices as a dermatologist and dermatologic surgeon in Christchurch. He is director of KM Surgical Ltd and Dermatology Associates Ltd and has special interests in skin cancer treatment and cosmetic and laser surgery. He is a fellow of the Royal Australasian College of Physicians and of the College of Physicians of Edinburgh and London. He is a Fellow of the American Academy of Dermatology and the American Society for Dermatologic Surgery . Dr Macdonald is a past President of the New Zealand Dermatological Society and was previously Clinical Director of the Christchurch Dermatology Department. Management Options for Skin Cancer Friday, 6 August 2010 Start 8:30am Duration: 25mins Chancellor 1 Case Studies in Common GP Skin Conditions - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 Dr Roland Meyer Originating from Belgium, medical training at the University of Heidelberg / Germany, post-graduate and specialist training in the United Kingdom and New Zealand. Physician in Respiratory and General Medicine at Christchurch Hospital between 1997and 2009, Clinical Director of the Respiratory Services after 2006. First NZ Community Respiratory Specialist helping to set up the Canterbury Initiative, working towards a truly integrated respiratory service for the region. This included the development of webbased clinical pathways, the establishment of primary care and community based diagnostic services, i.e. spirometry and sleep assessments in the first instance, also primary care and community based specialist assessments and clinics and a Pulmonary Rehabilitation programme. Currently Respiratory Physician for the Southern DHB, based at Southland Hospital. I have a strong interest in clinical systems design, a strong belief that integrated services are the basis for good patient outcomes and a more efficient and sustainable health system. Spirometry - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 Guidelines v EBM: Respiratory case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Duration: 25mins Chancellor 1 Better Community Respiratory Care Sunday, 8 August 2010 Start 8:30am 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Biographies & Sessions 29 Speakers Biographies Dr Philip Parkin Philip Parkin is a full-time consultant neurologist at Christchurch Hospital. He has been Clinical Director of the department of Neurology since 1994 and has been active in a number of national neurological organisations over a number of years, including a 20-year term as Councillor of the New Zealand Neurological Foundation and a member of its Scientific Advisory Committee. He regards his interests as covering the breadth of Clinical Neurology and lists music and the keen spectator pursuit of motor sport amongst his non-neurological interests. Is it really epilepsy? Friday, 6 August 2010 Start 9:45am Duration: 25mins Chancellor 1 Pearls of Neurology - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Dr Mark Peterson Dr Mark Peterson has been a member of the NZMA GP Council since 2003 and the Chair since 2007. He is a full-time GP in Napier, as a partner in a large General Practice. He is also Chairman of the Hawkes Bay Sub-faculty of the RNZCGP and deputy chairman of the Hawkes Bay PHO. Welcome - Chair GPC Friday, 6 August 2010 Start 8:00am Duration: 5mins Chancellor 1 Dr Claude Preitner Claude first graduated as a mechanical engineer, obtaining a MSc in Switzerland, his country of origin. He then completed Medical School and moved to New Zealand, where he obtained FRNZCGP status. Holder of a commercial pilot licence he worked as part time flight instructor, “the best student job there is”. He spent 16 years in his own general practice at Rotorua, and obtained a Diploma in Aviation Medicine. He became involved with assessing pilots and with occupational health. He also held a 2/10 position at the local ENT department for some 8 years. Moving to full time Aviation Medicine became a logical progression for him. He has been a Senior Medical Officer with CAA since 2002 and also attends a weekly clinic at the Hutt DHB. He enjoys interacting with GPs, running CMEs for aviation medical examiners, and the national and at time international dimension of his job. He has a special interest in the certification of pilots with complex medical problems. So What if Your patient happens to Fly? - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Mr Sanjeewa Samaraweera EEC Skellerup Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 Duration: 55mins “Manage My Health” over breakfast - Medtech Breakfast Session Friday, 6 August 2010 Start 7:00am Duration: 45mins Chancellor 1 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 30 Biographies & Sessions Speakers Biographies Dr Sara Souter Dr Souter is an Occupational Medicine Specialist and fellow of the Faculty of Occupational and Environmental Medicine. She works in private practice in Christchurch, but has a background and strong ongoing interest in company based practice. Her subspecialty area is Aviation Medicine, which was born from time spent in the Royal Flying Doctor Service in Australia in the late 1990’s, continued with work in the assistance area, and more recently in the airline industry and as a Grade 1 Medical examiner for CAA. She has a keen interest in vocational rehabilitation, and with her business partners was recently involved in a pilot initiative with ACC in this field. She is married to one of the business partners, and they have two young children. Hobbies are few and far between in the little hours that remain in the week! Can I Go back to Work Doc? - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Auckland Auckland Dr Ian St George Ian St George is a Wellington general practitioner, and has been Medical Director of McKesson New Zealand, which operates Healthline for the Ministry of Health, for ten years. Dr St George served on the Medical Council of New Zealand for several years, was chair of its Education Committee, and was Deputy President; he has been Deputy Dean at the Wellington School of Medicine and Censor in Chief for the RNZCGP. He is author of almost 100 papers in refereed journals, is editor of Cole’s medical practice in New Zealand, and has written a number of other books. His current research interests centre on the evolving place of a national telenursing triage and advice line in primary health care. Healthline - ten years evolution of the national telenursing triage and advice line Friday, 6 August 2010 Start 2:00pm Duration: 25mins Chancellor 1 Dr Bruce Sutherland I Completed a BSc in Zoology in 1982 and went on to qualify in Medicine at Auckland in 1989 and Diploma in Obstetrics in 1994. I have worked in Warkworth as a GP with Kawau Bay Health since then. My interests are in minor surgery, Orthopaedics and vasectomies. A clinic at Mahurangi College has kept me up to date with Adolescent Health. I have 3 children and am married to Elspeth Dickson, also a local GP. Performing Vasectomies - Concurrent Workshop Repeated (with Dr John Apps) Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Auckland Auckland 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 31 INVITATION Invitation to visit the MSD Stand We are pleased to invite you to our stand featuring: Two Merck Manuals to be won Two Ultrascope stethoscopes to be won Resources and samples to order Come and see us at our sta stand d Merck Sharp & Dohme (New Zealand) Limited Level 2, 109 Carlton Gore Road, PO Box 99851, Newmarket, Auckland 1149, New Zealand Tel 64-9-523 6000 Fax 64-9-523 6001 Ever thought of working in Australia? Maybe you should. Primary Health Care invites applicants to work as GPs in Australia. s3IGNIlCANTUPFRONTPAYMENTFORCONTRACTUALCOMMITMENT s&REEDOMFROMTHElNANCIALCOMMITMENTSANDADMINISTRATIVE HASSLESOFRUNNINGAPRACTICE s#LINICALINDEPENDENCEANDSTIMULATIONFROMAVARIEDPATIENTCASEMIX s$EDICATEDSUPPORTSTRUCTURESANDSERVICESTOOPTIMISECLINICAL CAREANDINCOME s0RACTICEINMODERNSTATEOFTHEARTFACILITIESWITHCOLOCATEDSERVICES 0RIMARYGIVES'0STHEFREEDOMTOCONTINUETHEPATIENTFOCUSED TRADITIONSOFGENERALPRACTICEWITHIMPROVEDDIAGNOSTICAND TREATMENTCAPABILITIESANDASECURElNANCIALFUTURE w w w. p r i m a r y h e a l t h c a re . c o m . a u &ORMOREINFORMATIONPLEASECONTACT $AVID"ROWN!UCKLAND.ORTH)SLAND.ORTHs!NNETTE!LTMIKS7ELLINGTON.ORTH)SLAND3OUTH 2OBERT7HEAT3OUTH)SLANDor EMAILENQUIRIES PRYNETAU 32 LZVi7Vb[dgYhWg^c\ndjVc ZmXZei^dcVagVc\Zd[fjVa^in 6YkVcXZY9^V\cdhi^X:fj^ebZci Alginates with glucose oxidase and lactoperoxidase CHLORVESCENT (Potassium Chloride) COLIFOAM (Hydrocortisone acetate) SYNERCID (Dalfopristin Mesylate / Quinupristin Mesylate) prednisolone sodium phosphate pergolide mesylate ZINCAPS Ferrum H (Zinc Sulphate) BICILLIN LA (Benzathine Penicillin) ® iron polymaltose complex Alginates with glucose oxidase and lactoperoxidase CIPROFLOXACIN (Ciprofloxacin) CARAFATE (Sucralfate) COLGOUT (Colchicine) Tried & trusted brands from s s s s s s %YE%AR.OSE4HROAT 3TETHOSCOPES ,IGHTING "LOOD0RESSURE-ANAGEMENT $ERMATOLOGY "INOCULAR,OUPES(EADLIGHTS 7ENOWINCLUDEINOUR RANGETHE/FlCE30%# DISPOSABLESIDEOPENING SPECULUMWITHSINGLE USEINBUILTLIGHTSOURCE 6cdi]ZgfjVa^inegdYjXi hZaZXiZYVcYhidX`ZYWn/ WM Bamford & Co Ltd p 0800-BAMFORD f 04-569-6489 e [email protected] lll#WVb[dgY#Xd#co L]ZceZg[dgbVcXZXdjcih7Vb[dgYYZa^kZgh VESICARE is now fully funded1 Come to stand 30 to find out more about VESICARE and be in to WIN an AdscopeTM 657 valued at over $400. Special authority applies. Fully funded for patients with a documented intolerance to oxybutynin. FULLY FUNDED 2S RI[^IEPERH©WRSWIPPMRK TLEVQEG]WOMRGEVIFVERH 7]RSZEXI%^XIG 'PMRMGEPP] EWWIWWIH VIWYPXW TLSXSFMSPSK]PEFSVEXSV] QIHYRWE REFERENCES: 1. PHARMAC funding criteria. VESICARE® is fully funded under special authority from 1 January 2010. NAME OF MEDICINE: VESICARE® contains 5 or 10 mg of solifenacin succinate in a film-coated tablet. INDICATION: VESICARE® is indicated for the treatment of unstable bladder with symptoms of increased urinary urgency, frequent micturition, and/or urge incontinence. DOSAGE: In adults, the recommended dose is 5mg once daily. If needed, this can be increased to 10mg once daily. Tablets should be swallowed whole. Not recommended for use in children. CONTRAINDICATIONS: Hypersensitivity to the active substance or to any of the excipients, Urinary retention, Uncontrolled narrow angle glaucoma, Myasthenia gravis, Severe gastro-intestinal condition (including toxic megacolon), Patients undergoing hemodialysis, Patients with severe hepatic impairment, Patients with severe renal impairment or moderate hepatic impairment and on treatment with a strong CYP3A4 inhibitor. WARNINGS AND PRECAUTIONS: Other causes of frequent urination (heart failure or renal disease) should be assessed before treatment with VESICARE®. If urinary tract infection is present, an appropriate antibacterial therapy should be started, Clinically significant bladder outflow obstruction at risk of urinary retention, Gastrointestinal obstructive disorders, Risk of decreased gastrointestinal motility, Severe renal impairment (doses should not exceed 5 mg for these patients), Moderate hepatic impairment (Child-Pugh score of 7 to 9)( (doses should not exceed 5 mg for these patients), Concomitant use of a strong CYP3A4 inhibitor (doses should not exceed 5 mg for these patients), Pregnancy, Lactation, and may effect ability to drive and use machines. ADVERSE EFFECTS: Dry mouth, Constipation, Nausea, Dyspepsia, Abdominal pain, Blurred vision, Urinary tract infection, Somnolence, Dysgeusia, Dry eyes, Fatigue, Oedema, Difficulty in micturition, Faecal impaction, Colonic obstruction, Urinary retention, Gastro-oesophageal reflux diseases, Dry throat, Vomiting, Cystitis, Dizziness, Headache, Nasal dryness, Dry skin, Pruritus, Rash, Urticaria, and Hallucinations. INTERACTIONS: anticholinergics, metoclopramide, cisapride, ketoconazole, CYP3A4 inhibitors, verapamil, diltiazem, CYP3A4 inducers, rifampicin, phenytoin, carbamazepin. MEDICINE CLASSIFICATION: Prescription Medicine. Please review the full data sheet before prescribing VESICARE®. Full data sheet is available from CSL Biotherapies (NZ) Ltd, PO Box 62 590, Central Park, Auckland 1544, www.csl.co.nz, or the Medsafe website www.medsafe.govt.nz Based on VESICARE® data sheet dated September 2008. VESICARE® is a registered trademark of Astellas Pharma International. VESI-079-07/10 DA1010PG Biographies & Sessions 33 Speakers Biographies Mr Tony Ward Mr Tony Ward is an Advanced Paramedic employed with St John Ambulance Service in Christchurch. Tony works primarily on the Westpac Rescue Helicopter and Rapid Response Unit. Actively involved in education, providing both level 5 resuscitation and PRIME tutorage to G.P’s throughout New Zealand. An active member of the Chemical Biological Radiological Nuclear and Explosive (CBRNE) and Specialist Emergency Response Team (SERT) responding as a medical support to the N.Z Fire service and Police AOS/STG. Educated as a Registered Nurse with 7 years Emergency Department experience before becoming an Advanced Paramedic in 2004. Currently educating through Otago University and studying towards a Masters in Aero Medical Retrieval and Transportation. Road v Fixed Wing v Rotary Wing Response Friday, 6 August 2010 Start 5:10pm Duration: 20mins Chancellor 1 Dr Phil Weeks Phil graduated from the University of Otago in 1980 and completed his training in radiodiagnosis in 1991. He spent time in Vancouver and Cambridge during his training, concentrating on ultrasound, scintigraphy and MRI. He then spent eighteen months as a fellow in Cardiac Radiology at Green Lane Hospital. Phil is currently Director of Ultrasound at Middlemore Hospital, with full involvement in the MRI, interventional, angiographic services provided there. He is a visiting specialist at Manukau Radiology Institute, and with The Ascot Radiology Group. He has particular interests in musculoskeletal and breast imaging, and is involved in the Auckland Access To Diagnostics group, endeavouring to improve primary care access to imaging. Ultrasound in Primary care Workshop - Concurrent Workshop Saturday, 12 June 2010 Start 7:30am Duration: 45mins Plenary Room Musculoskeletal; US and Radiology - Pre-conference Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Wellington Wellington Dr Anton Wiles Born and brought up in Auckland, trained in Otago, then 4 years travel and work in Australia and the UK. In practice in SE suburbs of Auckland since 1980, and took an active involvement with Registrar training and running the Primex examination in Auckland for some years. Also involved as a founding director of CAIPA (later to become ProCare), and elected to the executive of NZMA, becoming DeputyChairman in 1996, and then Chairman in 1998. In 2001 moved to join Dr Bill Daniels in Remuera, and started to train and participate in that practice’s high aviation medical workload. Is now designated for New Zealand, Australian and Canadian pilot medicals, and has completed FAA training - should be designated for USA pilot medicals soon. Aviation Medicals - Expanding Horizons - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Auckland Auckland 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 34 Biographies & Sessions Speakers Biographies Chris Wills Chris Wills is a business advisor at Medical Assurance Society specializing in HR issues. Having had a background in practice administration and management for over 20 years in Wairarapa, Chris moved to Wellington in 2004 to join the Practice Liaison team at Wellington Independent Practitioners Association. In 2008 Chris joined the MAS Business Advisory Service and her principal role is to advise Members on business issues in conjunction with the HealthyPractice® business support service. MAS Business Summit - “The Essentials of Staff Management” - Concurrent Session Saturday, 7 August 2010 Start 8:30am Duration: 120mins Holiday Inn Gloucester MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session (with Mr John Glue) Saturday, 7 August 2010 Start 11:00am Duration: 120mins Holiday Inn Gloucester Dr Heather Young I am a Sexual Health Physician (0.4 FTE) at Christchurch Sexual Health Clinic, Christchurch Hospital, and a DSAC doctor for Cambridge Clinic (which holds the Sexual Abuse Assessment and Treatment Service contract for the lower South Island). I am currently on maternity leave and have 2 children aged 3 years and 10 months. I am born and trained in Otago and moved back to the South Island in 2006 after a period overseas and the completion of my vocational training scheme in Auckland. Sexual Health Saturday, 7 August 2010 Start 9:20am Duration: 25mins Chancellor 1 Dr Rob Young Dr Young is a medical graduate of the University of Otago and was awarded a Commonwealth Scholarship which enabled him to graduate from the University of Oxford with a PhD in Molecular Genetics. He has been a consultant Physician in the Department of Medicine, Auckland City Hospital for the last 10 years and recently promoted to Associate Professor jointly appointed in the Faculties of Health and Medical Sciences and the School of Biological Sciences at the University of Auckland. Currently he lectures to medical students and post-graduate science students. His research and clinical interests focus on the early diagnosis and primary prevention of smoking related respiratory disease. Smoking Cessation Strategies - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Auckland Auckland How Statins improve lung disease - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Start 8:30am Duration: 25mins Chancellor 1 Influenza Saturday, 7 August 2010 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 35 Abstracts 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 36 Celebrating 10,000 babies! For everyone, from newborn to elderly Come and pick up your share of 10,000 jellybeans and one of our sought-after Biological Clocks – a great resource for your practice. To mark our 10,000th baby milestone, we have donated $10,000 to the Kakapo Recovery Programme Stand – enter the draw to win a 33 whole family of soft kakapo! Always available, 24 hours a day, y 7 days a week Immediate, expert assistance Experienced registered nurses Quality information and advice Trusted and confidential SPEAKS FOR YOU! + Patient Vitals – Electronic Health Records A NON-PROFIT CHARITABLE TRUST Registration R i t ti Number N b CC25227 – helping GPs respond to insurance requests quickly and securely. Us e d b y m most o ostt ma ajor aj jo orr ins in nsur ns su urer ur re ers: er r ss:: • an ef ficie ent s ta ent andard rdis ised ed pro roce cess ss for for co ompleti ting ti g med edic ical al inforrma mati tion ti on req req eque uest ue stss st • f ully y ellec c t ro onic c and paper ap options • fas fast s t pay yment and easy reconciliation • frees up doctor and practice staff time – leaving you free for the more enjoyable things in life! off fe ere ed at no o cost to o doc c t orss. Ko onne ectt Ne t L im mited Ph hone e 08 800 566 6 6328 www.konnect.co.nz Level 8, CBD Towers 88 – 90 Main Street Upper Hutt 5018 I New Zealand PHONE FAX WEBSITE +64 4 528 8218 +64 4 527 9540 www.medicalert.co.nz PO Box 40028, Upper Hutt 5140 FREEPHONE 0800 840 111 WIN A FREE COLOUR LASER PRINTER FIND OUT HOW AT THE MEDICALERT® STAND – GP CME 2010 Come and see us at stand 23, and go into the draw to win an iPod touch! Online www.medicalert.co.nz Patient and MedicAlert cAlert® member access acc now available at www.medicalert.co.nz Terms & Conditions for Prize Draws Draw is between 6 August and 18 September 2010. Prize will be drawn after close off date, winner will be notified by mail. Prize will be couriered to winner. Decision is final and no correspondence will be entered into. Registered Doctors must refer patients via Medtech 32. Prize cannot be exchanged for cash. Other conditions apply. Employees of MedicAlert® and Medtech Ltd are excluded from entry. Main Programme Friday 6th August 2010 Main Programme Mr Sanjeewa Samaraweera “Manage My Health” over breakfast - Medtech Breakfast Session Friday, 6 August 2010 Start 7:00am Duration: 45mins Chancellor 1 Duration: 5mins Chancellor 1 Notes Dr Mark Peterson Welcome - Chair GPC Friday, 6 August 2010 Start 8:00am Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 37 Main Programme 38 Friday 6th August 2010 Main Programme Professor Hamid Ikram Heart Failure Revisited Friday, 6 August 2010 Start 8:05am Duration: 25mins Chancellor 1 Another of the major cardiovascular epidemics, with the increasing prevalence, high mortality and morbidity. The diagnosis is based on clinical suspicion, but that alone is not sufficient as it lacks specificity. Diagnosis has to be further refined by the use of special tests. The most useful of these is echocardiography, but unfortunately there are difficulties of access in primary care. Measurement of natriuretic peptides is a very useful ‘rule out ’test heart failure is unlikely to be present if the test result is normal. Management of heart failure is increasingly a multidisciplinary approach, with close coordination between members of nursing as well as primary and secondary care physicians. Many centres have established specialised heart failure services. Sudden arrhythmic death occurs in half the cases. This has led to the increasing use of implantable defibrillators in high-risk patients. These devices have definitely reduce the mortality, but have done little to improve the quality of life or the trend to recurrent hospitalisation which is one of the major drivers of cost in heart failure. The use of cardiac resynchronisation therapy has improved the quality of life in selected patients with advanced heart failure. Sophisticated devices which incorporate implantable defibrillators together with resynchronising pacemakers, have been shown to reduce hospitalisation, improve quality of life, and by the defibrillator incorporated in the device, also reduce sudden death mortality. Cardiac transplantation continues to be advocated in highly selected cases. Whilst optimal pharmacological therapy continues to be the mainstay of heart failure in general, these device-based therapies have been shown to improve both symptoms and survival above anything achievable by optimal medical therapy. As the heart failure population in most countries continues to grow, the steady increase in device-based therapy is well set to cause a further cost benefit debate in a field which is already one of the most expensive clinical indications in public health. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 39 Friday 6th August 2010 Main Programme Dr Ken Macdonald Management Options for Skin Cancer Friday, 6 August 2010 Start 8:30am Duration: 25mins Chancellor 1 Before deciding on management options make an accurate diagnosis, decide if histology is required and have an understanding of skin cancer biology and behaviour. Recognise invasive and high risk cancers. • Non melanoma skin cancer is the most common malignancy in humans • Surgery is the mainstay of treatment • Mohs surgery conserves tissue and optimises cure rates • Destructive modalities require careful selection • Immunomodulators, photodynamic therapy and drugs that address genetic defects and normalise keratinisation show promise • Radiotherapy and chemotherapy in selected situations • To and T, melanoma must be managed surgically • Lymphomas, sarcomas, vascular and adnexal neoplasms can be complex to manage • Strong collegial associations advised if you treat skin cancer. Notes Dr Richard Fisher Issues in Fertility Friday, 6 August 2010 Start 8:55am Duration: 25mins Chancellor 1 Healthy eggs and healthy sperm are the most important gift you will ever give your children. Creating these is an issue for Primary Care. Although one cannot alter age and intrinsic biology, there is mounting evidence that lifestyle factors influence not only the chance of conception, but also the health of the embryo through to subsequent adulthood. A new concept in the time management of fertility delay will be presented. Outcomes for Assisted Reproductive Technologies continue to improve. New options for ovarian stimulation have been developed, which both improve outcomes and reduce risks. Significant changes have occurred in the investigation of male infertility, which may allow more focus on treatment. The assessment of ovarian reserve has been greatly enhanced with the development of robust assays for AMH. At a time when survival is becoming common following the treatment of cancer, continuing fertility in the interests of long-term quality of life can now be addressed. Children born following ART procedures show both morphological and endocrine differences from control groups. This information and a growing knowledge about epigenetic influences giving exciting insights into potential future beneficial outcomes both in natural and in ART conceptions. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 40 MOVICOL ® macrogol 3350 plus electrolytes The ‘Gentle Mover’ for New Zealanders from 2 to 102 † MOVICOL®: s The Gentle Mover s Hydrates, softens, bulks and lubricates MOVICOL 30s ® 12 years and older. Available OTC and also on the Pharmaceutical Schedule. s 30 Pack fully funded on PHARMAC s 30s, 8s and Half ALL available OTC Managing Health and Wellness Online MOVICOL L The ’Gentle Mover ’ ® MOVICOL 8s ® Putting People in Control of Their Health Records 24/7 Enabling Secure Shared Electronic Health Records Between Providers 12 years and older. Available OTC. äClinical and Patient Portal äAfterhours and Emergency Department Portal äEmergency and Ambulance Enhancing Patient Journey and Safety Fully Integrated to Medtech’s PMS Product Suite Medtech32, Medtech Evolution, Medtech Evolution Specialis, Medtech Evolution Allied Health and Medtech Clinical Audit Tool MOVICOL -Half 30s ® Children 2 years and older. Available OTC. medtechglobal.com Norgine Pty Limited (ABN 78 005 022 882) 3/14 Rodborough Road, Frenchs Forest NSW 2086 ® Registered Trademark. New Zealand contact number: 0508 667 446. NORG2379 03/10 N= 0410 Once Daily Ph PDQDJHP\KHDOWKFRQ] ar Sc mac he eu du ti le cal Each dose contains Macrogol 3350 13.125g, Potassium chloride 46.6mg, Sodium bicarbonate 178.5mg, Sodium chloride 350.7mg/dose. Medicines have benefits and some may have risks. Always read the label and use as directed. If symptoms persist consult your healthcare professional. † MOVICOL & MOVICOL-Half, Medsafe Approved Data Sheet. 4(%ñ6)4!,)49ñ/&ñ4 9 (%ñ3%! † Once-daily treatment for Attention-Deficit/Hyperactivity Disorder (ADHD) For a Ritalin Data Sheet, please visit the Novartis stand CONTROLLED DRUG B2. Ritalin® LA (methylphenidate hydrochloride) 10mg, 20mg, 30mg and 40mg capsules. Ritalin® SR (methylphenidate hydrochloride) 20mg tablets. Ritalin® (methylphenidate hydrochloride) 10mg tablets. Special Authority Criteria Apply. Consult full Data Sheet before prescribing. Ritalin is a registered trade mark of Novartis AG, Switzerland. Novartis New Zealand Limited, Auckland. Ph 0800 652 422. † Special Authority Criteria Apply. RITA 0709-254-0711 #OMPRESSION3TOCKINGS #OMPRESSION3TOCKING 3KINFRIENDLY ñTHANKSñTOñ3EA#ELLñACTIVEñALGAEñFIBRE !NTIBACTERIALANDANTIODOURññDUEñTOñTHEñSILVERñCONTENT (ARDWEARINGANDHIGHSTIFFNESS ñTHANKSñTOñTHEñCELLULOSEñFIBRE FIBRE Dist D Dis iist is st stribu s ribu rib rib ibu buted tte ed db by by: y: y Obex Obe Ob Obex x Me Med Med edica ic ical cal ca al Ltd a Lttd Lt d 0800 080 0800 00 0 0 VE VEN VEN ENO OSA OSAN SA SAN AN or AN or orr J Ja ane an ane n Youn Youn ng 02 27 2 27 29 90 97 9794 94 www. www ww. ww w obex obe ex..co. co o nz z 6%./3!. ISAREGISTEREDTRADEMARKOF3!,:-!..!'3T'ALLEN3WITZERLAND Main Programme 41 Friday 6th August 2010 Main Programme Dr Richard Chisholm Optimal Breast Cancer Screening Friday, 6 August 2010 Start 9:20am Duration: 25mins Chancellor 1 The National Breast Screening Programme in New Zealand began in December 1998. The process and results of screening will be described with emphasis on the very succcessful recruitment strategies involving general practices used in the Breastscreen South area. For detailed analysis of results presented go to http://www.nsu.govt.nz/ Select Screening Programmes > For Health Professionals > Breastscreen Aotearoa > Independent Monitoring Reports . National and regional figures are available there. Notes Dr Philip Parkin Is it really epilepsy? Friday, 6 August 2010 Start 9:45am Duration: 25mins Chancellor 1 Because it is the most common primary disorder affecting the brain, it is hardly surprising that epilepsy is the diagnostic possibility so frequently considered whenever a patient presents for review having undergone a blackout or other transient neurological event. While it is a diagnosis easily made in many patients, family practice-based studies in the UK have suggested that in up to a quarter of those believed to have epilepsy, the diagnosis proves to be incorrect. Of the wide array of disorders that can be mistaken for epilepsy, two of them in particular probably account for the majority of epilepsy mis-diagnoses. My review of how to diagnose epilepsy will therefore include particular focus on how to avoid being misled by these two epilepsy look-alikes. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 42 Friday 6th August 2010 Main Programme Professor Hamid Ikram Interpreting ECGs - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Ballroom 2 Ballroom 2 Notes Associate Professor Gary Hooper Fracture management - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 This session will discuss fracture management with an emphasis on forearm fractures. Participants should learn: 1 how to assess fractures, both clinically and radiologically 2 how to manage simple fractures with casts 3 the principles of cast immobilisation 4 to recognise the common complications following fractures and cast immobilisation Participants will learn how to apply a below elbow cast. Notes Dr Roland Meyer Spirometry - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Ballroom 1 Ballroom 1 For some health professional spirometry is an under used and under utilized investigation in general practice. This workshop will address issues of the technique of undertaking successful spirometry, and will outline use of the procedure in diagnosis and management of respiratory conditions as well as interpreting the patterns. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 43 Friday 6th August 2010 Main Programme Dr Philip Bird Assessing the Dizzy and Deaf - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 This presentation includes a brief overview of the important issues in hearing loss in adults and children stressing the need for early diagnosis of prelingual deafness and management of severe to profound deafness. A pragmatic way of considering the “dizzy patient” is also presented, aiming to have an interactive session. Notes Dr John Apps How to .. Trigger Point Needling - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Wellington Wellington Also known as Intramuscular Stimulation, this will be a practical, hands on workshop, so come prepared to be demonstrated on! Participants with musculo-skeletal pain are welcome. I will give a brief overview of how it seems to work based on the concept of muscle shortening (no science involved), review some cases, show some typical pain referral diagrams and then demonstrate trigger point identification and treatment by examination & needling. The main skill is examination technique to find the painful bits and the only essential knowledge is knowing where NOT to needle! I use this technique during normal GP consultations: it is rapid and effective in about 70% of cases. Typical problems treated include neck, shoulder and back pain (including those with radiculopathy), chronic headaches and migraine, trochanteric bursitis and epicondylitis. GPs who have introduced needling techniques into their usual practice, generally report a reduction in referral rates and decreased prescribing of analgesia and anti-inflammatories, not to mention some increased work satisfaction! Some patients even return to work after years on the benefit system! If time allows, we can include acupuncture treatments that have been shown to be effective for the nasal symptoms of hay-fever and OA of the knee. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 44 Friday 6th August 2010 Main Programme Dr Rob Young Smoking Cessation Strategies - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Auckland Auckland The new recommendation for smoking cessation is the ABCD: (A: Ask about smoking, B: Brief advice (about quitting), C: Cessation treatment and D: Do testing). There is growing evidence to suggest that smokers are interested in their risk of smoking complications. Spirometry and genetic testing are useful tools to engage smokers much like we use cholesterol for assessing cardiovascular risk and initiating lifestyle changes. This presentation will cover recent insights into how this testing helps smokers quit and provide a useful tool of engagement. Notes Mr Andrew Carmody Medtech User Group - Concurrent Workshop Repeated Friday, 6 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Notes Mr Kevin Morris Better@Work: How Not to be the Meat in the Rehab Sandwich Friday, 6 August 2010 Start 12:05pm Duration: 55mins Lichfield Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 45 Friday 6th August 2010 Main Programme Dr Ian St George Healthline - ten years evolution of the national telenursing triage and advice line Friday, 6 August 2010 Start 2:00pm Duration: 25mins Chancellor 1 Healthline was started as a pilot ten years ago, and became the national teletriage and advice line in 2005. Its telenurses now field 1000 calls a day, 700 of them from callers unsure of what they should do about a current symptom. They are questioned according to a highly sophisticated software program, excluding serious causes first, and arriving at a disposition of care that is safe, consistent, and “the right place at the right time”. Consistent with similar national lines in UK and Australia, the highest number are triaged to self care at home, with decreasing numbers referred to more urgent dispositions. Adherence to advice is high, and satisfaction similarly high. Complaints are few. Clinical governance procedures ensure continuing quality improvement in the service. There will be many new options and opportunities for such a service over the next ten years. Notes Dr Nigel Harrison Hypertension and Vitamin D Friday, 6 August 2010 Start 2:25pm Duration: 25mins Chancellor 1 While pharmacological management of hypertension is well understood and relatively easily practiced, the trigger for its development can often be traced to poor nutritional and lifestyle choices and practices. Lack of exercise and excess salt intake are cited as contributors but nutritional deficiencies can play a significant part. This paper discusses the evidence around this neglected aspect of care. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 46 See Beyond HbA1c "Lung Cancer - know your risk with Respiragene" Ƈ A personalised, tool to help your patients better understand their risk of lung cancer from chronic smoking Ɣ RespirageneTM is as simple as a cheek swab. Ɣ Respiragene uses personal clinical and genetic data to assess a current and ex-smokers risk for lung cancer. Ɣ Respiragene provides doctors with the opportunity to prioritize smoking cessation and detection efforts in their most at risk patients. ƔCOPD is the leading risk factor for lung cancer but is under diagnosed. Simple spirometry is available at the time of the Respiragene test. Come and hear Dr Young talking about how the risk assessment motivates smoking cessation Ƈ A personalised, tool to help you assist smokers with cessation Discover your patients’ blood glucose patterns and provide a tailored treatment. To discuss further, come and see us at the Roche Diabetes Care Stand No.7 www.accu-chek.co.nz Roche Diagnostics, 15 Rakino Way, Mt Wellington, Auckland 1060, PO Box 62089, Mt Wellington, Auckland 1641, New Zealand Accu-Chek Enquiry Line: 0800 80 22 99 Ɣ In a pilot study of randomly selected smokers in Auckland, preliminary results suggest that taking the Respiragene test motivates people to stop smoking. Ɣ The 6 month quit rate among participants in this study was over 30% compared to the 4-5% of smokers overall who manage to give up smoking each year. Over 30% halved their smoking consumption and nearly 50% took cessation treatments. Ƈ The role of statins in respiratory disease Ɣ Dr Young will review recent data indicating that statins appear to have a therapeutic benefit in respiratory disease. Ɣ In view of the cardiovascular risk in people with COPD, Dr Young will present evidence supporting the use of statins in COPD. Synergenz BioScience NZ Ltd Telephone: 0800 5864 7475 (0800 Lung Risk) Email: [email protected] www. synergenz.com @_cdWbQTeQdU4Y`\_]QY^ 7U^UbQ\@bQSdYSU@74Y`7@ Division of Health Sciences The Postgraduate Diploma in General Practice has been designed to meet the needs of general practitioners within New Zealand. http://dnmeds.otago.ac.nz/departments/gp/teaching/pg_info.html The papers are all distance-taught and use a combination of delivered course material, supplementary readings, audio- conferences, internet and residentials. This allows medically qualified participants from all over the country to partake in further education without impinging too greatly on their schedules. Normally one paper is taken each semester or each year on a )LQDOO\ WKH&KRLFHLVUHDOO\<2856 tŽƌůĚĐůĂƐƐĞůĞĐƚƌŽͲŵĞĚŝĐĂůĂŶĚĚŝĂŐŶŽƐƟĐĞƋƵŝƉŵĞŶƚ ĂƚŐůŽďĂůůLJĐŽŵƉĞƟƟǀĞƉƌŝĐĞƐ͘ ŽŵĞĂŶĚƐĞĞLJŽƵƌŶĞǁĐŚŽŝĐĞƐĂŶĚŶĞǁůŽǁƉƌŝĐĞƐ͕ ŽŶ^ƚĂŶĚϯϮ͘ ǁǁǁ͘njŽŶĞŵĞĚŝĐĂů͘ĐŽ͘Ŷnj part-time basis, usually over two to three years. The programme of study requires papers to value of 120 points to complete the diploma. When the required papers are completed and a Postgraduate Diploma in General Practice awarded, students can then complete their master’s degree with either a research thesis or an approved paper and dissertation. http://dnmeds.otago.ac.nz/departments/gp/teaching/pg_info.html For further information, please come and visit us at Stand No 77 at the conference or call Anita Fogarty 03 479 7424 or 027 2823 009 Main Programme 47 Friday 6th August 2010 Main Programme Associate Professor Gary Hooper New Ideas for an Old Problem - OA Knees Friday, 6 August 2010 Start 2:50pm Duration: 25mins Chancellor 1 The impact on both the child and the family of a child or adolescent with a sleeping disorder is huge. Approximately 25% of all children in New Zealand experience some type of sleep disorder at some time in their childhood. These range from difficulty falling asleep and frequent nightwakings, to the more serious primary sleep disorders such as sleep apnoea and narcolepsy. Almost 1/3 of primary school children and approximately 40% of adolescents suffer from significant sleep complaints. The consequences of sleep disorders in children can be serious, and range from cardiovascular problems and failure to thrive, to behavioural concerns and academic failure. The importance of recognising and diagnosing these disorders is vital, as most are treatable with effective medical and behavioural interventions. At this workshop, a range of children’s sleep disorders will be discussed and will include: 1. Signs and symptoms of these disorders. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken. Notes Dr David Bratt Ready Steady Crook Friday, 6 August 2010 Start 3:15pm Duration: 25mins Chancellor 1 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 48 Friday 6th August 2010 Main Programme Borowczyk Professor Peter Joyce Bipolar Disorders and Depression - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Ballroom 2 Ballroom 2 Over the past decade there have been significant improvements in the recognition and treatment of depression in primary care. However, there remain further challenges in both diagnosis and management. One of the challenging areas is the recognition of bipolar disorder amongst those whose primary clinical presentation is with depressive symptoms. Understanding the similarities and differences between depression and bipolar depression, and implications for management will be highlighted. Notes Dr Alex Bartle Why Won’t my Child Sleep? - Concurrent Breakout Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Ballroom 1 Ballroom 1 The impact on both the child and the family of a child or adolescent with a sleeping disorder is huge. Approximately 25% of all children in New Zealand experience some type of sleep disorder at some time in their childhood. These range from difficulty falling asleep and frequent nightwakings, to the more serious primary sleep disorders such as sleep apnoea and narcolepsy. Almost 1/3 of primary school children and approximately 40% of adolescents suffer from significant sleep complaints. The consequences of sleep disorders in children can be serious, and range from cardiovascular problems and failure to thrive, to behavioural concerns and academic failure. The importance of recognising and diagnosing these disorders is vital, as most are treatable with effective medical and behavioural interventions. At this workshop, a range of children’s sleep disorders will be discussed and will include: 1. Signs and symptoms of these disorders. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 49 Friday 6th August 2010 Main Programme Dr Sara Souter Can I Go back to Work Doc? - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Auckland Auckland Vocational rehabilitation has never been so important. In our turbulent economic times, illness or injury can be devastating to the employee who may lose their job, or the employer who has to train another. In the last 12 months there has been renewed worldwide interest in health at work from a human, social and economic perspective. This was in part led in early 2008 by the publication of “Working for a Healthier Tomorrow” - Dame Carol Black’s review of the health of Britain’s working age population. The aim of the UK government now followed by ours and other governments as the merits are seen, is to change attitudes to ill-health or injury and work. In particular, the benefits of remaining at work are now overwhelming, yet our current system, and many individual health professionals, focus on what their patient cannot do rather than what they can do at work. Many wrongly perceive that staying away from work during mild-moderate illness or injury is in their patients’ best interests. Overall evidence available to-date shows that vocational rehabilitation is effective and cost-effective, and must include both workfocused healthcare and accommodating workplaces. They found that healthcare solutions alone do not provide best outcomes for the individual. A coordinated team approach from the patient, employer, primary medical provider and rehabilitation specialists is the optimal way to achieve desired outcomes in the environment most of our patients are part of. This workshop aims to present both available evidence and case-based scenarios, and discuss common problems encountered in supporting vocational rehabilitation and examples of how to address them. Notes Dr Philip Parkin Pearls of Neurology - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 50 Friday 6th August 2010 Main Programme Dr Rosemary Ikram Appropriate Use of Antibiotics - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Wellington Wellington Notes Dr Rob Young How Statins improve lung disease - Concurrent Workshop Repeated Friday, 6 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Over the last 5 years there have been a number of studies examining the diverse actions of statins in lung disease primarily chronic obstructive pulmonary disease and lung cancer. This presentation will review the epidemiological, animal and pharmacological studies that suggest statins may, through immune modulating action, be as effective in preventing respiratory disease as they are in reducing cardiovascular disease. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 51 Friday 6th August 2010 Main Programme Dr David Bowie Pre Hospital Care for Trauma Friday, 6 August 2010 Start 4:30pm Duration: 20mins Chancellor 1 Since 1998 the focus for the provision of pre hospital management of trauma ( and medical) emergencies in New Zealand has been the PRIME (Primary Response In Medical Emergencies) system. Although its adoption has been inconsistent across the country and there has been controversy regarding funding methods it is still the most important system for the training and coordination of emergency response outside the metropolitan areas. The guidelines for the Roadside to Bedside initiative based on the work of the Australasian College of Surgeon Trauma Committee contains valuable information for the management of emergency situations and are currently being revised and updated. The introduction this year of a Regional Trauma System led by Waikato Hospital in the Midland region will go some way to improving provision and co-ordination of trauma response in that part of New Zealand. The improvement in service and the reduction of “turf wars” such a system can offer will hopefully see their adoption across the country in the near future. Some specific management scenarios will be provided to illustrate potential benefits. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 52 Friday 6th August 2010 Main Programme Professor Hamid Ikram Cardiac Emergencies Friday, 6 August 2010 Start 4:50pm Duration: 20mins Chancellor 1 Cardiac emergencies in primary care include many conditions, ranging from these so-called, ‘café coronary’ to acute coronary syndromes presenting with major arrhythmias, acute heart failure, cardiogenic shock and sudden death. Other conditions, including massive pulmonary embolism,haemopericardium and cardiac tamponade complicating a variety of conditions. Clearly, time does not permit one to cover all these conditions in any detail. Particularly, the role of the primary care physician in this situation is limited to a rendering emergency first aid, securing the airway, establishing a diagnosis and stabilising the patient’s heart rate and blood pressure prior to removal to hospital. The most frequent emergency that the rule of primary care physician encounters, and for which he should be trained is the management of acute coronary syndromes. The diagnosis of these conditions may be relatively straightforward in the presence of a typical history and ECG changes. However, frequently this is not the case. A high degree of clinical suspicion is essential. The interpretation of the electrocardiogram is most important, as it is the most readily available diagnostic tool. ST segment elevation in a collapsed patient indicates a large transmural myocardial infarction. Current guidelines require that this patient being moved to a centre with facilities for percutaneous revascularisation. If such a centre is too far away, then thrombolytic therapy offers the best prospect of myocardial salvage. Patients should be pre-treated with buccal aspirin and given appropriate thrombolytic therapy. Stabilisation of the patient prior to movement to the hospital is vital in preventing the development of major rhythm disturbances. A vital ingredient in this stabilisation process is the relief of pain. If the patient has a resting tachycardia, then small doses of beta-blockade should be used to slow the rate. Likewise, in the presence of significant bradycardia, the administration of atropine will help to elevate the heart rate. Control of nausea and vomiting, which is a frequent concomitant of acute myocardial infarction is important in preventing further myocardial necrosis and the development of life-threatening arrhythmias. Other cardiac and vascular emergencies include acute hypertensive emergencies and acute heart failure. 2. Relevant history and examination to be undertaken, with further investigation if required. 3. Treatments, both medical and behavioural, that can be undertaken. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 53 Friday 6th August 2010 Main Programme Mr Tony Ward Road v Fixed Wing v Rotary Wing Response Friday, 6 August 2010 Start 5:10pm Duration: 20mins Chancellor 1 Rural practitioners are faced with difficult and life altering decisions on a daily basis, throw into the mix the foreign environment of emergent pre-hospital care, unfamiliar equipment, inclement conditions and multiple casualties! Who goes? Where do they all go? What levels of care do they require? And who will provide all these resources? Decisions like these require a considered and co-ordinated response appropriate to the scene. This session hopes to provide you with some tools in order to help make a sometimes tricky decision, simpler and justified. Pre-Flights assessment, stabilisation and some tricks of the trade will see you decrease stress and increase patient care in this sometimes overwhelming environment. Notes Associate Professor Gary Hooper Skiing Injuries Friday, 6 August 2010 Start 5:30pm Duration: 20mins Chancellor 1 The increased incidence of snowboarders on the ski field has changed the injury patterns of alpine trauma. Skiing injuries traditionally involved lower limb injuries including tibial fractures and knee ligament injuries, now there is a much higher incidence of upper limb trauma with AC joint, shoulder and wrist injuries predominating. Initial assessment of severe trauma will be discussed with emphasis on the musculskeletal system followed by the assessment and management of the common upper and lower limb injuries. There will be an emphasis on the shoulder and knee. Following this session participants should have a better ability to assess and manage acute shoulder and knee injuries from ‘skiing’ accidents. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 54 Friday 6th August 2010 Main Programme Dr Jim Borowczyk MusculoSkeletal Medicine Workshop - Concurrent Workshop Repeated Spondylosis, Facet Joint Arthropathy, and Pain Friday, 6 August 2010 Start 4:30pm Start 5:30pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Since 1998 the focus for the provision of pre hospital management of trauma ( and medical) emergencies in New Zealand has been the PRIME (Primary Response In Medical Emergencies) system. Although its adoption has been inconsistent across the country and there has been controversy regarding funding methods it is still the most important system for the training and coordination of emergency response outside the metropolitan areas. The guidelines for the Roadside to Bedside initiative based on the work of the Australasian College of Surgeon Trauma Committee contains valuable information for the management of emergency situations and are currently being revised and updated. The introduction this year of a Regional Trauma System led by Waikato Hospital in the Midland region will go some way to improving provision and co-ordination of trauma response in that part of New Zealand. The improvement in service and the reduction of “turf wars” such a system can offer will hopefully see their adoption across the country in the near future. Some specific management scenarios will be provided to illustrate potential benefits. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 55 Saturday 7th August 2010 Main Programme Dr Peter Foley NZMA Breakfast Session - Interactive Session on GP Advocacy Saturday, 7 August 2010 Start 7:00am Duration: 45mins Chancellor 1 Duration: 30mins Chancellor 1 Notes Dr Rosemary Ikram Microbiology in Infectious Disease Saturday, 7 August 2010 Start 8:00am A large number of infectious diseases present in primary health. The role of the microbiology laboratory will be outlined. Key points will be illustrated with examples. Firstly taking a relatively well defined area such as urinary tract infection. Then exploring the introduction of a new test for gonorrhea. Finally exploring the role of the microbiology laboratory in surveillance for antimicrobial resistance and its control. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 56 Saturday 7th August 2010 Main Programme Dr Rob Young Influenza Saturday, 7 August 2010 Start 8:30am Duration: 25mins Chancellor 1 “Its just the flu” is a common belief by a large proportion of the population. But we must remember that influenza carries an annual mortality in this country of about 150. While it did not happen this time with the 09H1N1 virus, it is not if, but when, there will be a pandemic. This session will cover epidemiology, diagnosis, isolation of patients, and treatment in a general practice setting Notes Dr David Hammer Travel medicine - not just bugs Saturday, 7 August 2010 Start 8:55am Duration: 25mins Chancellor 1 General Practitioners are well placed to provide travel health services to their patients because (usually) they know the patient’s background and have established a trusting relationship with them. Also, many travellers book their trips without the slightest idea that they should have some medical input before they depart and GPs may have the opportunity to raise this awareness. Whilst travel vaccinations are important, they only prevent a small number of deaths and a more holistic approach is called for. Advice on avoiding murder, suicide, assaults, road accidents and drowning may seem painstakingly obvious but people do the stupidest things when abroad. Although most travellers know that they should only drink bottled water and that they may need to take malaria pills, many seem to think that they have somehow opted out of the “meet a rabid dog” encounter. Sure, many patients won’t listen to you anyway but simple advice can mean the difference between life and death, or at least between a good trip and a disaster. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 57 Saturday 7th August 2010 Main Programme Dr Heather Young Sexual Health Saturday, 7 August 2010 Start 9:20am Duration: 25mins Chancellor 1 Practical aspects of STI management. This presentation focuses on updated resources, emerging epidemiologic trends and newer antibiotic regimens, with an emphasis on clinical recognition and referral guidelines. Contact tracing will be discussed and a few of the clinical syndromes outlined. Notes Dr Rosemary Ikram Epidemics Saturday, 7 August 2010 Start 9:45am Duration: 25mins Chancellor 1 Epidemics will be defined. Factors causing these will be explored . Recent epidemics which have required a response from primary health will be used to illustrate the epidemiology of these infections notably severe acute respiratory syndrome (SARS), influenza, norovirus and antimicrobial resistance. The knowledge of the epidemiology of these infections is the key to interrupting transmission and a responsive primary health sector has a major role in this. Notes Dr David Hammer Travel Medicine Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 58 Saturday 7th August 2010 Main Programme Dr Richard Chisholm Breast Cancer Diagnosis - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Wellington Wellington A series of case presentations highlighting the use of various types of imaging for breast problems. An informal session planned with opportunity for discussion and some imaging diagnoses made by those attending. Notes Dr Bruce Sutherland & Dr John Apps Performing Vasectomies - Concurrent Workshop Repeated (with Dr John Apps) Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Auckland Auckland Bruce Sutherland together with Dr John Apps will run a one hour workshop on how to do Vasectomies in General Practice. They will discuss the Preoperative consultation. Then, how to do the procedure, with some short video clips and demonstrations. Followed by Postoperative care discussion and potential pit falls for the vasectomist. Vasectomy is a procedure that should be performed by General Practioners. They will discuss how this can be facilitated and how we can support the incorporation of this skill into the General Practice model. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 59 Saturday 7th August 2010 Main Programme Dr Nigel Harrison Cardiac Case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Salisbury Salisbury Notes Dr Robert Allison Lumps and Bumps in the Head and Neck - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 Lumps or swellings in the Head and Neck can have a wide range of causes. This talk aims to provide a logical way of approaching these, leading a likely diagnosis and management plan in general practice. The presentation is divided into four main areas, with some degree of overlap. 1. Neck lumps in children. 2. Neck lumps in adults. 3. Salivary gland disorders. 4. Head and Neck cancer presentation. 1. Lateral paediatric neck lumps are commonly inflammatory nodes which can be managed in general practice, unless they persist. Midline paediatric neck lumps are usually developmental and require referral. 2. In adults, the presence of a painless lateral neck mass can often indicate a metastatic malignant node. Midline neck masses are usually of thyroid origin. Fine needle aspiration (FNA) is a useful investigation but does have a significant false negative rate. If the FNA is not consistent with the clinical picture there should be a low threshold for repeating the FNA, or considering referral 3. Head and Neck cancers are relatively common, but present with a wide range of symptoms and can masquerade as benign disease, necessitating a high index of suspicion to make a diagnosis. Treatment is multi-disciplinary and usually curative. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 60 Saturday 7th August 2010 Main Programme Dr Roland Meyer Guidelines v EBM: Respiratory case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch Does this apply to my patient with a respiratory problem ? Case Studies Chronic respiratory diseases (CRD) are very common. Most GPs encounter these on a daily basis although frequently several other issues need to be addressed during the same patient consultation. In particular patients with COPD often have several co-morbidities. Published disease-specific guidelines (e.g. for asthma or COPD) may either be very comprehensive but too long and impossible to apply during a patient consultation. The abbreviated versions may be too narrow with a focus on the pharmacological components of the patient management. Guidelines often are said to be “evidence-based” but in reality the evidence may be derived from clinical studies that included patients quite unlike the patient in front of you. The controversial issue of inhaled corticosteroids for the management of COPD is discussed as are 2 examples of the published so-called “mega-trials” for COPD. A systematic approach to the individual patient is required: What are the symptoms due to? Is the diagnosis correct, do I need additional information or tests ? Are there additional factors? Has the treatment made any difference – if not , should it be discontinued? Do my patient’s beliefs match my own? What non-pharmacological considerations are required ? Cases of “COPD with frequent exacerbations “, “asthma with poor control and persisting symptoms” are presented and analysed with reference to published treatment algorithm. Notes Dr Claude Preitner So What if Your patient happens to Fly? - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 11:00am Start 12:05pm Duration: 55mins Duration: 55mins Ballroom 1 Ballroom 1 When prescribing, GPs need to be aware of their patients profession and hobbies. GPs have at time to deal with patients who are pilots. Some drugs are either prohibited or require special Civil Aviation approval. In general terms when treating a pilot, fitness to fly determination depends both on the condition being treated and the treatment itself. Dr Claude Preitner discuss particular considerations that Medical Practitioners should give when treating pilots, and conditions that are of particular concern to flight safety. He also addresses Medical Practitioners legal obligations in regard to those conditions and treatments of concern and advises on available resources. Air travel is becoming more accessible and the age of the travelling public goes up. This results in an increase in the number of passengers flying with medical conditions. The aircraft environment can exacerbate pre-existing medical problems leading to problems in-flight. Dr Claude Preitner will also discuss practical aspects of assessing passengers’ fitness to fly, when confronted with such questions in General Practice. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 61 Saturday 7th August 2010 Main Programme Dr Brian Almand A Prescribers Guide to the Galaxy - Concurrent Workshops Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Christchurch Christchurch This is a revealing response to doctor’s prescribing from the person responsible for the interpretation of your requirements and the subsequent realisation of that treatment modality, your most frequent reviewer, the Community Pharmacist. Along with a few insights from the District Health Board angle we will, ever so briefly, look into the Pharmaceutical Schedule. There will be a concurrent review of the predictive value of the original fictional work with respect to the New Zealand prescription reimbursement scheme, and some points of astronomical value. Notes Dr Katherine Grundy Palliative Care as a Team - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Auckland Auckland Recent achievements and developments within the NZ Palliative Care sector will be outlined. The definition of palliative care continues to evolve and associated terms such as “end-of-life care” and “advance care planning” have emerged. NZ is the third best place to die according to a recent international survey but we still have a long way to go. Challenges include the need to ensure consistent access to and quality of specialist palliative care and the requirement to make sure that all palliative care is integrated seamlessly across services. Palliative care education, guaranteed back-up and support for complex cases and a universal elevation of the status of palliative and end-of-life care in primary care, aged residential care and acute care is needed. We must consciously identify palliative care as being the complete picture. The role of GP teams is critical, with specialist services there to provide a solid, dependable framework. Work done recently in Canterbury known as “HealthPathways” will be presented. This is a joint initiative between primary and secondary care, assisting GPs with clinical problems, planning and coordinating care and improving the interface with specialist services. The ultimate aim is that patients and families receive the care they need in the location of their choice whenever possible. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 62 Saturday 7th August 2010 Main Programme Mr Andrew Carmody Medtech User Group - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Salisbury Salisbury Notes Dr Sean Every Eye case Studies - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 - Examination of the adult eye in General Practice - Examination ot the paediatric eye in General Practice - Transient loss of vision - Flashes and floaters - Approach to the red eye - Macular degeneration update Notes Dr Ken Macdonald Case Studies in Common GP Skin Conditions - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Chancellor 1 Chancellor 1 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 63 Saturday 7th August 2010 Main Programme Professor Hamid Ikram Hypertension - Concurrent Workshop Repeated Saturday, 7 August 2010 Start 2:00pm Start 3:05pm Duration: 55mins Duration: 55mins Holiday Inn Ballroom 1 Holiday Inn Ballroom 1 Another CV Epidemic- In danger of being the ‘Forgotten Killer’ as opposed to the “ Silent Killer’ of old. Focus has moved from the obsession with numbers of the blood pressure towards the assessment of absolute cardiovascular risk. This entails putting blood pressure into the context of multiple cardiovascular risk factors. Inevitably, the management of hypertension also entails the control of these other risk factors. Lifestyle measures underpin all management strategies in the hypertensive patient. Increasingly however, it is necessary to use drug therapy to achieve optimal levels of blood pressure reduction. Only by this approach, can worthwhile reduction in real clinical events be achieved. Patients with significant hypertension, are therefore often on complex medical regimes which include two or three antihypertensive agents, together with, lipid lowering therapy, antiplatelet therapy and other agents to control blood sugar and gout. This polypharmacy makes compliant difficult, resulting in drug failure. Simplification of the regime and the close involvement of the patient and his family are essential to achieve adherence to a therapeutic regime. The very minimum target for successful treatment should be a systolic blood pressure below 140 mmHg and a diastolic of less than 90 mmHg. This target should be revised downwards for diabetics and those with manifest organ damage. A search for organ damage with simple measurements of renal function, proteinuria, left ventricular hypertrophy and diabetes should form a part of the essential preliminary evaluation. These points are of particular relevance to patients of Maori, Pacific and South Asian origin. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 64 Saturday 7th August 2010 Main Programme Dr Phil Weeks Ultrasound in Primary care Workshop - Concurrent Workshop Saturday, 7 August 2010 SUPPORTED BY: Start 11:00am Duration: 120mins Wellington Broad overview of likely future trends in adoption of ultrasound in primary care Machine purchasing – what to look for. Mandatory features, desirable features, traps and pitfalls Servicing and maintenance Tailoring equipment to need image guidance and diagnosis. Scope of practice Getting started Training, clinical oversight, image sharing Training opportunities and clinical partnerships Clinical pathways their utility and integration in primary care Notes Dr Brendan Gray & Dr Tim Cookson Hot Issues : What’s new in the Medicolegal Workplace? - MPS Session Saturday, 7 August 2010 Start 4:30pm Duration: 90mins Chancellor 1 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 65 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 66 Medical Assurance Society Business Summit Saturday 7th August 2010 Medical Assurance Society Business Summit Chris Wills & John Glue MAS Business Summit - “The Essentials of Staff Management” - Concurrent Session Saturday, 7 August 2010 Start 8:30am Duration: 120mins Gloucester General practice is a complex and fascinating place to work with many challenges for those managing staff. For example if your new staff member hasn’t worked in this environment before, they won’t just walk in and do the job . . . you need to train and support them. If you get it right, from the beginning of the employment relationship through to the end and all points in-between, staff will be your most valuable asset. Proactively managing performance will also reduce the cost and time spent on managing underperformance and disciplinary processes. CORNERSTONE™ accreditation further reinforces the need to have clear documented workplace policies and guidelines in place for the whole practice team - including GPs. And breaching your employer obligations in relation to employment agreements or employment law can land you in serious hot-water. Understanding the basics of current legislation and developing good policies and processes will help you manage and develop a confident and motivated team and ensure legislative compliance. This session will cover the requirements of: • Recruiting well • Position descriptions & KPIs • Employment agreements • Induction • Staff appraisals • Staff retention • Training and development • Underperformance and disciplinary procedures Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Medical Assurance Society Business Summit 67 Saturday 7th August 2010 Medical Assurance Society Business Summit Chris Wills & John Glue MAS Financial Session - “The Essentials of Financial Management” - Concurrent Session Saturday, 7 August 2010 Start 11:00am Duration: 120mins Gloucester General practice has changed significantly from the traditional small business model where all revenue flowed directly from the GP/Patient consultation. Most of these changes have added layers of complexity to those responsible for financial management including capitation and the transfer of financial risk, increased group practice compliance and quality standards, less direct GP/Patient consultation revenue, PHO projects, workforce shortages, different GP needs and many more. Business models have also changed with DHB, Community Trust, PHO and corporate ownership now being more commonplace alongside the traditional GP owner/operator. And we continue to see more amalgamations with the development of purpose built medical centres providing a broader range of primary care services. To be financially viable and successful general practice now needs good financial management and business planning skills. This session will cover three key areas of good financial management: 1. Maximising income – including managing the practice register, consumables, debtors, fee policy and other revenue opportunities; 2. Managing expenses – including non-owner GP/staff costs and financial risks; 3. Business planning and budgeting – to help determine the future direction and performance of the practice and how this will be funded. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 68 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme Dr Ai Ling Tan Managing Pelvic Malignancy - Practice Nurses Programme Saturday, 7 August 2010 Start 11:00am Duration: 25mins Ballroom 2 Gynaecological Cancers make up 10% of all cancer cases and 10% of all cancer deaths in New Zealand. A Cancer Society survey showed that 1/3 of the women could not identify a single symptom of gynaecological cancer. As health professionals it is our duty to educate the public. Today we will go through how these cancers present. Ovarian cancer is the 4th biggest killer of New Zealand women – with one woman dying every 48 hours from ovarian cancer. Literature has shown that women have the best survival if they are treated by a subspecialist gynaecological oncologist. Appropriate triage of pelvic masses is discussed. Most ovarian cancers are sporadic but in familial ovarian cancers there is a role for risk reducing surgery. Diagnosis and management of endometrial, vulva and cervical cancers are also covered in this presentation. Particular emphasis is placed on preinvasive and invasive disease of the vulva as these tend to be missed. Notes Dr Brian Almand Dispensing to the Elderly - Practice Nurses Programme Saturday, 7 August 2010 Start 11:25am Duration: 25mins Ballroom 2 A review of particular concerns with respect to older adults and psychiatric medications including common adverse effects, interactions and dealing with polypharmacy. Bring your questions. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Practice Nurses Programme 69 Saturday 7th August 2010 Practice Nurses Programme Associate Professor Ed Gane Hepatitis B and C 101 - Practice Nurses Programme Saturday, 7 August 2010 Start 11:50am Duration: 25mins Ballroom 2 The Ministry of Health Hepatitis C Implementation Plan Ed Gane, HCV Champion, MoH HCV Project Team In September 2005 a commitment was made by the government, to resolve the longstanding concerns of those infected with hepatitis C through the blood supply. Within this commitment a variety of measures were promised, including provision of an enhanced treatment package. Additional funding was sought and secured for this treatment package and a Hepatitis C Treatment Advisory group, comprising of clinicians, DHB managers and community representatives and chaired by Ed Gane was established to advise the Ministry of Health. The terms of reference of the Hepatitis C Treatment Advisory Group were to develop a costed and prioritised Implementation Plan, supported by district health boards (DHBs) and the Ministry of Health. This group first met on 17 April 2007. During 2008, they conducted a comprehensive Stocktake of current HCV treatment services provided at each of the 21 DHBs. Following analysis of these results and other information, the committee identified barriers to accessing this treatment and geographical gaps in service provision. They identified priority interventions to improve services and patient outcomes throughout NZ and developed a costed and prioritised implementation plan for improving the access to and uptake of Hepatitis C treatment in New Zealand. The subsequent Health Report and the Hepatitis C Plan was submitted to Hon. Tony Ryall by HCTAG in January 2009. On 28 July 2009, the Minister approved the “Strategic Directions for Hepatitis C – improving access to and uptake of hepatitis C treatment services” and signed off the funding allocation to address the key action areas within the document. These four key action areas, identified within Strategic Directions for Hepatitis C, are: (i) improving HCV treatment services;(ii) improving knowledge of HCV among primary health care providers; (iii) increasing the percentage of all people with HCV who have had the disease diagnosed; (iv) improving the knowledge of HCV prevalence in the New Zealand population and within subgroups. During this presentation, I will briefly outline the plans for primary care, including the new e-learning tool for GPs and Practice Nurses, designed to improve knowledge and encourage opportunistic screening for HCV. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 70 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme Dr Sean Every Eye Pot Pourri - Practice Nurses Programme Saturday, 7 August 2010 • • • Start 12:15pm Duration: 25mins Ballroom 2 How to test Visual Acuity How to pad an eye How to irrigate an eye following a chemical injury Notes Dr Richard Chisholm Screening for Breast Cancer - Practice Nurses Programme Saturday, 7 August 2010 Start 2:00pm Duration: 25mins Ballroom 2 The National Breast Screening Programme in New Zealand began in December 1998.The process and results of screening will be described with emphasis on the very successful recruitment strategies involving general practices and practice nurses used in the Breastscreen South area. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Practice Nurses Programme Practice Nurses Programme 71 Saturday 7th August 2010 Dr Peter Chapman-Smith Healing Leg Ulcers - Practice Nurses Programme Saturday, 7 August 2010 Start 2:25pm Duration: 25mins Ballroom 2 Leg ulcers are 80% venous in origin and consume 1-2% of Vote Health each year. Effective healing requires treating the underlying chronic venous insufficiency and venous hypertension, use of adequate class 2 compression and good nursing. Secondary infection and necrotic debris may need attention. The vast array of available ( expensive) dressings make little difference to healing times. Compression aids healing, reduces interstitial oedema and needs to be worn 24 hours daily until healing occurs. Frail elderly patients can use various devices to assist the wearing of compression hose which need to be a minimum of class 2 strength ( 35-40mm Hg at the ankle). Peripheral vascular disease can complicate this. Non surgical treatment of varicose veins is the first line option in most western countries, not yet available in the NZ public health system. Endovenous laser ablation (EVLA) has become the most effective, safe option with high patient acceptance, and is funded by private medical insurance. Foam ultrasound guided sclerotherapy (UGS) is used concurrently to occlude distal trunks and tributaries. Careful post treatment surveillance with duplex ultrasound is necessary to exclude thrombotic sequelae, and to document efficacy of treatment. Post thrombotic syndrome (PTS) following deep venous thrombosis (DVT) has been recognised for some time but is poorly understood. This is a debilitating condition with life long discomfort, leg swelling and oedema. More common with proximal DVT but seen also after mere calf DVT, it is reduced by 50% by simply wearing class 2 compression hose for 24 months post DVT, rarely prescribed by GPs. TED stockings continue to be widely prescribed consuming health funds – completely useless in the ambulant patient. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 72 Practice Nurses Programme Saturday 7th August 2010 Practice Nurses Programme Dr Nigel Harrison The Joys of Vitamin D - Practice Nurses Programme Saturday, 7 August 2010 Start 2:50pm Duration: 25mins Ballroom 2 There is much excitement in the research and clinical environments about Vitamin D. Deficiency and insufficiency, far from being unusual is now recognised as being almost universal within certain agegroups and sectors of society. Through its controlling influences on many thousands of genes, Vitamin D plays a profound role in not only bone health but immune function, cardiovascular health, diabetes and cancer prevention. The widespread deficiency now demonstrated as being present from cradle to grave could well be at the root of many of the chronic disease epidemics we are currently battling. Notes RN Linda Hill Immunisation Workshop - Practice Nurses Programme Saturday, 7 August 2010 Start 4:00pm Duration: 60mins Ballroom 2 One of the strongest evidence-based medical interventions we have is immunisation. Despite this, New Zealand currently has mediocre immunisation coverage and reasons for this range from issues around access to services, systems and a lack of community confidence in immunisation generally. However many practices can and do maintain high immunisation coverage rates in their childhood population. A crucial component is a confident provider. This presentation will focus on the key issues and some resources that are useful for us as PNs at the practice level when dealing daily with immunisation systems, issues, parental and community concerns. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 73 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 74 Sunday 8th August 2010 Main Programme Dr Roland Meyer Better Community Respiratory Care Sunday, 8 August 2010 Start 8:30am Duration: 25mins Chancellor 1 Chronic respiratory diseases (CRD) are very common. Most GPs encounter these on a daily basis although frequently several other issues need to be covered during the same patient consultation. Good self management will generally result in better disease control and better patient outcomes. The education required to achieve this however may be time-consuming . So called “Life style” factors such as smoking and obesity, social determinants of health such as poor housing have significant impact on respiratory health and need to be addressed more effectively. COPD often is not diagnosed until half of the patient’s lung function has been lost. 2/3 of the “burden” of COPD may as yet need to be to be diagnosed. Case finding, better and earlier community care may prevent patients from progressing to a more severe stage. Hospital and Specialist Services usually are overloaded and unable to respond in a timely fashion to anything but urgent referrals . Significant barriers for patients to attend hospital services exist, in particular in larger cities. Numerous “silos” exist, often providing quality patient care but without sufficient integration between providers and different specialities. Frequent acute presentations do not necessarily result in better chronic disease management . It is crucial to have dedicated resources to identify enrolled patients with CRD, to allow proper diagnosis, patient education and the development of a CRD management plan which is based on a holistic approach – including pharmacological and non-pharmacological treatments. Locally adapted, web-based pathways, easy access to community based diagnostics such as spirometry testing or sleep studies, community based and integrated education, pulmonary rehabilitation have been set up in Canterbury as part of the Canterbury Initiative and some gains have already been made. Further strategies need to address the development of better incentives for all providers and further reduce barriers for better integration and for patients to access services. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 75 Sunday 8th August 2010 Main Programme Professor Shaun Holt How to ACT to Improve Asthma Outcomes Sunday, 8 August 2010 Start 7:30am Duration: 45mins Chancellor 1 There is a major gap between what can be achieved with modern asthma management and what is currently being achieved. One of the main reasons for this is a lack of recognition of asthma severity and the requirement for more effective treatment - it is only through identifying those patients with uncontrolled asthma that appropriate treatment will be prescribed. In part the difficulty in the assessment of control relates to the lack of a clear therapeutic target in asthma. This contrasts with other chronic diseases such as hypertension or diabetes where treatment is prescribed in order to achieve a definite therapeutic target. One approach to this difficulty is to develop a simple test which is a screening tool to identify patients with poorly controlled asthma. The Asthma Control Test (ACT) has been developed and validated for this purpose. It involves patients completing a simple written questionnaire of five questions, from which a score (out of 25) is obtained. It has been shown that the ACT is a simple, quick and accurate tool for assessing asthma control and it has been shown to be responsive to changes in asthma control over time. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 76 Sunday 8th August 2010 Main Programme Dr Adrian Balasingam CT Colonography Sunday, 8 August 2010 Start 8:55am Duration: 25mins Chancellor 1 CT Colonography (CTC) otherwise known as Virtual Colonoscopy has stormed to the forefront of radiological imaging of the colon over the past decade. As rates of Colo-Rectal carcinoma increase in New Zealand and with limited access to conventional colonoscopy, CTC has become and even more important tool. This talk will include a discussion on technique, examples of common conditions, pitfalls, complications and “no bowel prep” regimes for infirmed patients who are unable to tolerate colonic catharsis. The relationship of CTC and conventional colonoscopy will be included including when CTC is not appropriate. The goal is to provide conference attendees a general overview of CTC and to gain a better understanding of its strengths and weaknesses. Notes Dr Sean Every Glaucoma 101 Sunday, 8 August 2010 Start 9:20am Duration: 25mins Chancellor 1 Is glaucoma relevant to General Practice? Despite being the most common cause of irreversible blindness in the western world there is no screening programme. It does not fulfil the WHO criteria for screening because there is no single screening test. Consequently 50% of glaucoma in our community is undiagnosed. Most screening is opportunistic and done by optometrists. A brief summary of glaucoma is presented. Take home messages: 1. As primary health care providers General Practitioners can recommend glaucoma screening for their patients when they reach 45 years, repeated 5 yearly until 60 years, thereafter 3 yearly. This can be done by optometry or private ophthalmology. 2. Having a family history of glaucoma is a significant part of the family history. 3. Long term steroid treatment is a risk factor for glaucoma. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 77 Sunday 8th August 2010 Main Programme Dr John Apps Wilderness Medicine Sunday, 8 August 2010 Start 9:45am Duration: 25mins Chancellor 1 This session will explore the depth & breadth of wilderness medicine as an emerging discipline, illustrated with cases from around the globe. So, whether you are going as the medic on a charity bike ride, pushing the survival limits at altitude or near the poles, volunteering for disaster relief work or going into a war zone, come along for a light-hearted sharing of experiences, where necessity really is the mother of invention! We will look at the vital importance of the 7 Ps (proper planning & preparation prevents p*** poor performance), information sources, suitable training, the common problem of pre-departure concealed illness, realistic medical kits, evacuation options and working with local health care providers. I will bring along some of my treasured items of equipment that I would not leave home without. Notes Dr Phil Weeks Musculoskeletal; US and Radiology - Pre-conference Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Wellington Wellington Overview of approaches to musculoskeletal problem solving with particular emphasis on primary care strategies, and available resources. SUPPORTED BY: Plain film, ultrasound, MRI and CT scanning use of nuclear medicine and brief reference to CT PET. Ultrasound and its practical application for common problems and utility in guiding musculoskeletal intervention. This will be followed by hands on practical scanning using available laptop based ultrasound platforms. Patients with simple masses, and basic scanning techniques and normal anatomy around tendons and major joints. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 78 Sunday 8th August 2010 Main Programme Dr Daniel Ching Hot Tips in Rheumatology - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Ballroom 2 Ballroom 2 Notes Dr Ai Ling Tan Gynaecologic Cancer - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Christchurch Christchurch The first part of the session will focus on patient pathways after referral to a gynaecological oncology unit. The second part will focus on the various types of cancers including ovarian, endometrial, cervical and vulva cancer. Clinical presentation, diagnosis and management will be discussed The third part will cover when to refer in some clinical scenarios as well as the follow up for cancer patients and does this make a difference to survival. . Complications of treatment that could present to primary care will be covered. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 79 Sunday 8th August 2010 Main Programme Dr Anton Wiles Aviation Medicals - Expanding Horizons - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Auckland Auckland Having come into Aviation Medicine by chance, I have found it an interesting and rewarding activity, which complements an active general practice very well. It is a branch of occupational medicine, dealing with the medical needs of pilots and their certification for flying aircraft. As such it is highly associated with the ultimate aim of safety in the aviation environment. In the main this is dealing with healthy and motivated individuals, assessing current health status, and encouraging healthy life-styles. This seminar aims to describe to sort of work done, and how a medical practitioner can qualify to become involved. Notes Dr Brian Almand Prescribing for Anxiety and Depression - Concurrent Workshops Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Chancellor 5 Chancellor 5 Frequently Asked Questions Answered, Occasional Problems Solved and Points of Interest with New Medications: Covering a range of common questions from General Practice including antidepressant dosing, when to switch and how to switch; common recommendations from specialist services and why they sometimes appear unhelpful; a reminder about anxiolytics, leading to a quick look at new and imminent antidepressant medications, what they are and how to use them. Bring your questions. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 80 Sunday 8th August 2010 Main Programme Dr David Hammer Vaccinations for Travellers - Concurrent Workshop Repeated Sunday, 8 August 2010 Start 8:30am Start 9:30am Duration: 55mins Duration: 55mins Ballroom 1 Ballroom 1 Notes Dr Daniel Ching Biologics in Inflammatory Rheumatic Diseases Sunday, 8 August 2010 Start 11:00am Duration: 25mins Chancellor 1 The era of biologics or targeted therapies in rheumatology started in 1998 with the use of tumour necrosis factor alpha inhibitor in the treatment of rheumatoid arthritis. As a result of more intensive monitoring and treatment (similar to tight control of blood glucose in patients with diabetes), combination DMARDs (disease modifying anti-rheumatic drugs) and biologics, remission in rheumatoid arthritis and other inflammatory diseases, is now achieveable. There are currently nine different biologics approved by the FDA for the treatment of inflammatory rheumatic diseases. In NZ, Etanercept is available for the treatment of juvenile idiopathic arthritis (JIA) or adult patients with a history of JIA. Adalimumab has been available for the treatment of rheumatoid arthritis since 1.1.2006 and available for the treatment of ankylosing spondylitis and psoriatic arthritis since 1.8.2009. As well as new strategies and treatments, the other major factor in achieving remission in patients with inflammatory rheumatic diseases is early and aggressive treatment. GPs are an important player in this process with early referral to a Rheumatologist of any patient who they are suspicious of developing early inflammatory rheumatic diseases, regardless of the ESR or CRP. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 81 Sunday 8th August 2010 Main Programme Associate Professor Ed Gane A new screening tool for Hepatitis C Sunday, 8 August 2010 Start 11:25am Duration: 25mins Chancellor 1 The Ministry of Health Hepatitis C Implementation Plan Ed Gane, HCV Champion, MoH HCV Project Team In September 2005 a commitment was made by the government, to resolve the longstanding concerns of those infected with hepatitis C through the blood supply. Within this commitment a variety of measures were promised, including provision of an enhanced treatment package. Additional funding was sought and secured for this treatment package and a Hepatitis C Treatment Advisory group, comprising of clinicians, DHB managers and community representatives and chaired by Ed Gane was established to advise the Ministry of Health. The terms of reference of the Hepatitis C Treatment Advisory Group were to develop a costed and prioritised Implementation Plan, supported by district health boards (DHBs) and the Ministry of Health. This group first met on 17 April 2007. During 2008, they conducted a comprehensive Stocktake of current HCV treatment services provided at each of the 21 DHBs. Following analysis of these results and other information, the committee identified barriers to accessing this treatment and geographical gaps in service provision. They identified priority interventions to improve services and patient outcomes throughout NZ and developed a costed and prioritised implementation plan for improving the access to and uptake of Hepatitis C treatment in New Zealand. The subsequent Health Report and the Hepatitis C Plan was submitted to Hon. Tony Ryall by HCTAG in January 2009. On 28 July 2009, the Minister approved the “Strategic Directions for Hepatitis C – improving access to and uptake of hepatitis C treatment services” and signed off the funding allocation to address the key action areas within the document. These four key action areas, identified within Strategic Directions for Hepatitis C, are: (i) improving HCV treatment services;(ii) improving knowledge of HCV among primary health care providers; (iii) increasing the percentage of all people with HCV who have had the disease diagnosed; (iv) improving the knowledge of HCV prevalence in the New Zealand population and within subgroups. During this presentation, I will briefly outline the plans for primary care, including the new e-learning tool for GPs and Practice Nurses, designed to improve knowledge and encourage opportunistic screening for HCV. Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Main Programme 82 Sunday 8th August 2010 Main Programme Professor Hamid Ikram Atrial Fibrillation Sunday, 8 August 2010 Start 11:50am Duration: 25mins Chancellor 1 Atrial fibrillation is the commonest sustained rhythm disorder encountered in clinical practice. It is broadly classified as ‘paroxysmal or intermittent’ or ‘sustained’. The most important clinical consequences are:1. Haemodynamicdecompensation 2. Thromboembolism Atrial fibrillation carries a 5 to 7 times increased risk of stroke, which is much greater if there is impairment of left ventricular function or rheumatic valvular heart disease also present. Currently, the major strategies for managing this condition consist of 1 restoration of normal sinus rhythm (Rhythm Control) or 2. Control of the ventricular rate ( Rate Control). Both these have their place in individual cases, but as regards outcomes, they are equivalent. Thromboembolic prophylaxis is mandatory in most cases. This is assessed by the CHADS2 Score. { C= CHF; H= Hypertension SBP>160mm Hg; A=age > 75yrs; D= Diabetes all these are 1 point each., while S= previous stroke or TIA and has 2 points} Patients with !point can be treated with Asprin but Warfarin is indicated for all others in the absence of contraindications. Newer advances with drugs and devices are available but may not be seen in NZ for some time. Notes Professor Hamid Ikram Clinical Quiz Sunday, 8 August 2010 Start 12:30pm Duration: 30mins Chancellor 1 Not telling!! Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 83 Notes 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 84 Delegate Listings as of 27 July 2010 Title Dr Dr Ms Mr Dr Dr Dr Mr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Ms Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Given Name Maysoon Allan Jacqui Yassar Anna Cathy Robert Brian Glenn Nicole Ross Vasuki John Rachel Fiona Samantha Hilary Jeremy Simon Adrian Sandra Alex Karen Peter Sergio Anya Deanne Teresa Bharat Phil Jeanette Jim Bere Peter Clare David David Peter Alan Gerald Nigel Kaye John Jo Kiri John Tina Peter Daniel Narasimha Rajesh Richard Julia Siew-Siew Freya Jochen Deirdre Janine Tree Alexandra James Tim Graham Terrance Bryan Penny Tony Paula Wayne Tom Denise Simon Ann Anna Pip Johannes Jean-Marc Kelvin John Charlotte Surname Abbas Adair Adair Alamri Alderton Allison Allison Almand Anderson Anderson Anderson Annamalai Apps Arms Arnold Bailey Baird Baker Baker Balasingam Barr Bartle Barwise Battersby Battistessa Beale Bedggood Berthelsen Bhakta Bird Blair Borowczyk Borrie Borrie Botha-Reid Bowie Bratt Brooke Brookes Brown Brown Buchan Bulow Caldwell Cameron Campbell Cartmell Chapman-Smith Ching Chintanginjala Chisholm Christie Chua Clemens Clemens Clink Close Cocks Cole Collins Cookson Corbett Cork Croker Crutchley Cummings Cunningham Currie Dalziel Davies Davis Davison de Hamel De Klerk de Maroussem DeGinder Dehn Dempster Organisation The Clinic University of Otago, Christchurch School of Medicine Hillmorton Medical Centre Christchurch Public Hospital HVDHB Hutt Hospital Pharmacy Greenwood Health International SOS Helios Medical Centre The Doctors Ora Toa Cannons Creek Servants Health Centre Salisbury Health Centre Whitecross Henderson Settlers Health Centre Hibiscus Coast Medical Centre Christchurch Radiology Group New Brighton Healthcare Sleep Well Clinic Strandon Health Taupo Medical Centre Waiuku Medical Centre Cromwell Medical Centre Woolston Christian Medical Centre Girven Road Medical Centre Eastside Medical Christchurch Public Hospital Dr Collins Surgery Roslyn Health Centre Roslyn Health Centre Christchurch South Health Centre Canterbury DHB Ministry of Social Development Brooke Medical Services Medicross Accident & Medical Centre Timaru Medical Centre Kaiapoi Medical Centre Maori Hill Clinic Waikari Clinic Uawa Community Health Clinic Redcliffs Medical Centre Island Bay Medical Centre Skin and Vein Clinic Timaru Hospital South City Medical Centre Christchurch Women’s Hospital Otago Medical School ProMed Edgeware Gore Medical Centre Gore Medical Centre Lincoln Medical Ltd Lincoln Road Medical Practice Aurora Health Centre Merivale Medical Practice Dr Collins Surgery Medical Protection Society ACC Miramar Medical Centre Amuri Community Health, North Canterbury Thorndon Medical Centre Riccarton Clinic and After Hours Milton Health Centre Stoke Medical Centre, Stoke Waiuku Medical Centre Queenstown Medical Centre Broadway Health Centre Wakefield Health Centre Medicross Rakaia Medical Centre Taraua Health Group Amberely Medical Centre Mana Medical Centre Alphabetical Suburb/City Christchurch Auckland Auckland Christchurch Christchurch Christchurch Christchurch Wellington Motueka Ho Chi Minh City Lyttleton Hastings Westport Wellington Dunedin Christchurch Auckland Christchurch Auckland Christchurch Christchurch Auckland New Plymouth Taupo Waiuku Cromwell Christchurch Mt Maunganui New Plymouth Christchurch Balclutha Christchurch Dunedin Dunedin Christchurch Christchurch Wellington Nelson Motueka New Plymouth Timaru Kaiapoi Dunedin Waikuku Beach Tolaga Bay Christchurch Wellington Whangarei Timaru Invercargill Christchurch Dunedin Christchurch Gore Gore Christchurch Christchurch Dunedin Christchurch Balclutha Wellington Whangarei Wellington Hanmer Springs Wellington Christchurch Milton Nelson Waiuku Queenstown Kerikeri Wellington Wellington New Plymouth Rakaia Dannevirke Christchurch Porirua 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings as of 27 July 2010 Alphabetical Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Mrs Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr A/Prof Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr RN Dr Mr Professor A/Prof Dr Dr Dr Dr Dr Dr Professor Dr Dr Dr Dr Dr Mrs Dr Mrs Dr Mrs Zita Gareth Karen Elspeth Rose Andy Judith Chandra Greg John Louise Carol Greg Rowan Gaye Sherryn Philnie Sean Bernard Rosy Ross Richard Peter Sue Julie Alison Sandra Ernst Annie Ed Tim Helen John Linda Brenda Stephan Gwyneth Brendan Hillary Lewis Beccy Yvonne Marie William Katherine Nilmini Hanan Phillip David Paula Nigel Mohammed Mark Landon Sandra Linda Hamish Mathew Shaun Descalzo Devonald Dickinson Dickson Dodd Doherty Donnell Dookia Down Drake Draper Drinkwater Dunn Dunn Durward Eden Edwardson Elvin Every Fanning Fenwicke Fieldes Fisher Foley Foot Forsey Foster Fountain Fuhrhop Fyfe Gane Gardner Gardyne Geard Gibb Gibson Gort Graham Gray Gray Gray Greaves Greenfield Grove Grundy Gunawardana Habib Hamilton Hammer Hanley Harrison Hasan Haywood Hepi Hicks Hill Hilson Hobbs Holt Piki Te Ora Clinic Gary Stephen Maureen Joshua Tina Greg Tanya Hamid Hooper Hoskin Houstoun Howe Huang Hunter Hussein Ikram Christchurch School of Medicine and Health Sciences Fiordland Medical Practice Dunedin Urgent Doctors & Accident Centre Eastcare The Riccarton Clinic Central Medical Centre Waiwhetu Medical Centre University of Otago Christchurch Te Anau Dunedin Christchurch Christchurch Alexandra Lower Hutt Christchurch Rosemary Rachel Hans Maki Dishanthini Aishah Paul Shiree David Lynley Ikram Inder Itjeshorst Jagose Jayawardena Jip Jip Johnston Jones Jones MedlabSouth Newlands Medical Centre Otaki Medical Centre Mana Medical Centre Normans Road Surgery Central City Medical Central City Medical High Country Health Gore Health Centre Christchurch Wellington Otaki Porirua Christchurch Palmerston North Palmerston North Twizel Gore Gore Papanui Medical Centre Warkworth Medical Centre Peninsular Medical Centre Andy Doherty Medical Ltd Medical Treatment Centre Moorhouse Medical Merivale Medical Practice Otautau Health Matamata Medical Centre Redcliffs Medical Centre Radius Medical, Palmerston North Christchurch Eye Department Union and Community Health Centre North End Health Centre Fertility Associates New Zealand Medical Association Hillmorton Hospital Seatoun Surgery Lincoln Road Medical Practice Mana Medical Centre Twizel Medical Centre Auckland City Hospital High Country Health Uawa Community Health Clinic Victoria Medical Papanui Medical Centre Terrace Medical Centre Ferrymead Medical Centre Mt Pleasant Medical Centre Medical Protection Society North Avon Medical Otautau Health Waikanae Health Centre Unitec Health Centre Riverton Medical Centre Christchurch Hospital Palliative Care Service Ngati Porou Hauora Maraenui Medical Centre Merivale Medical Practice MedlabSouth Papanui Medical Centre Whangarei Hospital Fairfield Medical Centre Toi Ora Health Shirley Medical Centre Halswellhealth South Island for the Immunisation Advisory Centre Dr HR Hilson Medical Services University of Otago Christchurch Christchurch Christchurch Warkworth Wellington Invercargill Rotorua Upper Hutt Christchurch Palmerston North Christchurch Otautau Matamata Matamata Lower Hutt Banks Peninsula Christchurch Bulls Christchurch Christchurch Wellington Oamaru Auckland Wellington Christchurch Lower Hutt Wellington Christchurch Porirua Twizel Auckland Twizel Tolaga Bay Palmerston North Christchurch Wellington Christchurch Christchurch Wellington Christchurch Otautau Paraparaumu Auckland Riverton Christchurch Gisborne Napier Christchurch Christchurch Christchurch Whangarei Hamilton Opotiki Christchurch Christchurch Christchurch Nelson Dunedin Tauranga 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 85 Delegate Listings 86 as of 27 July 2010 Professor Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mr Dr Dr Dr Dr Dr Mrs Dr Dr Mrs Dr Dr Dr Mrs Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Alphabetical Peter Joyce Dean of the University of Otago Christchurch Sherif Ranatunga Ciandra Murtaza Philip Bridget Margaret Patrick Yvonne Arna Martin Malcolm Alison Graham Ken Catriona Tearlach Liz Nicola Allie David Tony Dunc Helen Andrew Gemma Bruce Jim Matt Linda Seema Roland Jo Janet Sarah Cathy Barney Jim Denise Anthony Phil Jonathan Kate Janice Richard Diana Carey Hamish Richard Gill Murray Lucy Pam Prue Andrew Roland Bill Jordi Donald Philip Gita Sarah Mark Bruce Jeanette Fiona Ruth Jane Stephen Rebecca Kathryn Claude Simon Navin Penny Simon Rob Peter Kalladka Kalupahana Keenan Khanbai Knowles Kuzma Larder Leary LeFort Letica London Lyons MacDonald Macdonald Macdonald MacGregor Maclean Mangan Manttan Maskill Mattan Mayne McAllister McDougall McGuire McIntosh McKerchar McKevitt McKevitt Mellor Menon Meyer Millis Mills Missen Mitchell Montgomery Montgomery Moran Morris Morris Morton Morton Muir Muir Nash Nazzer Neill Newman Nixon Nutsford O'Hagan Olver Orchiston Osborne Ostring Page Palau Palmer Parkin Patel Perano Peterson Phillips Phillips Pickering Pickering Piper Pitman Pope Powell Preitner Prior Rajan Rickman Riddell Riley Ripley Flagstaff Medical Centre Avalon Medical Centre Miramar Medical Centre Community Medical Centre, Waitara Hamilton Lower Hutt Wellington New Plymouth Havelock North Waimauku Oamaru New Plymouth North Shore City Auckland South Westland North Shore City Auckland Christchurch Christchurch Christchurch Christchurch Riccarton Christchurch Palmerston North Wellsford Paeroa Blenheim Ohope Christchurch Palmerston North Invercargill Whakatane Whakatane Wellington Hamilton Southland Hospital Wanaka New Plymouth Dunedin Wellington Wellington Wanganui Blenheim Timaru Blenheim Palmerston North Palmerston North Mosgiel Mosgiel Auckland New Plymouth Nelson Riccarton Upper Hutt Hamilton Wanaka Wellington Dunedin Christchurch Christchurch Kaiapoi Rangiora Christchurch Christchurch Auckland Blenheim Wellington Hamilton Hamilton Dunedin Christchurch Mangawhai Kaiapoi Dunedin Dunedin Lower Hutt Masterton Hamilton Wellington Palmerston North Nelson Dunedin Waimauku Doctors North End Health Centre Devon Medical Centre Milford Family Medical Centre Titirangi Family Health Care Albany Basin Accident and Medical Redcliffs Medical Centre Sumner Health Centre University of Canterbury Health Centre Riccarton Medical Practice Merivale Medical Practice Linton Military Camp | Bulls Medical Centre, Bulls Paeroa Medical Centre Springlands Health Ltd Kopeopeo Health Centre QE II Medical Centre Masonic Medical Centre Phoenix Medical Centre Otago Medical School Student Health, Massey University Radius Medical Hamilton Southern DHB Wanaka Medical Centre Strandon Health Otago Medical School Brooklyn Central Health Aramoho Health Centre Lister Court Medical Centre Central City Medical Central City Medical Mosgiel Health Centre Mosgiel Health Centre Te Atatu South Medical Centre CareFirst Harley Street Medical Riccarton Medical Practice Upper Hutt Health Centre Northcare Medical Centre Aspiring Medical Centre Brooklyn Central Health Student Health, University of Otago Riccarton Clinic Scasebrook Surgery Kaiapoi Medical Centre Durham Health Helios Integrative Medical Christchurch Hospital Picton Medical Centre New Zealand Medical Association Otorohanga Medical Centre, Otorohonga Student Health Services Redcliffs Medical Centre Coast to Coast Health care Kaiapoi Medical Centre Harbour Health Port Chalmers Meridian Medical Centre Cival Aviation Authority Masterton Medical Radius Medical Hamilton Capital Care Gardens Medical Centre 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings as of 27 July 2010 Alphabetical Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr A/Prof Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Nurse Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Mr Dr Mrs Dr Dr Dr Dr Dr Mr Dr Dr Dr Dr Dr Dr Dr Janet Chris Linda Kirsty Caroline Hilary Peter Philippa Tessa Tonya Khalid Razia Liz Graeme Janine Marc Hilkka Jeff Eugene Branjo Jenny Allan Anil Daya Glen Sara Camilla Grant Jenny Ian Shelley Vanessa Liz Malcolm Lindsay John Bruce Carolyn Ai Ling Olivia Kate David Sean Kerry Claire Michael Graeme Theresa Michelle Colette Hugh Belinda Rhondda Christine Eva Sabien Matthew Graham Peter Robert Adnan Tony Phil Donna Graham Pauline Shane Anton Bridget David Luke Joanne Anna Han Heather Kenneth Rob Rex David Robinson Rohrbach Ruohonen Russell Ryan Ryan Ryan Ryan Ryder Sadler Sandhu Sandhu Schroder Scrivener Searle Shaw Sheffield Shortt Sia Sijnja Simpson Sinclair Singh Singh Smith Souter Spears Spence Spring St George Stansfield Stedman Steyeart Stoney Strang Sutherland Tallentire Tan Tan Taylor Thomson Thomson Thornbury Thurlow Thwaites Tingey Tingey Todd Torrance Townend Turnbull Turner van Dalen Van Niekirk van Riessen van Rij Vujcich Walton Wan Ward Weeks West Whittaker Whyte Wilcox Wiles Williams Wilson Wilson Winiata Winter Yan Young Young Young Yule Zarifeh Amberley Medical Centre Central Medical Eastside Medical Templeton Medical Masterton Medical Rolleston Medical Centre QE II Medical Centre Hornby Medical Centre Redcliffs Medical Centre Kilbirnie Medical Centre Kilbirnie Medical Centre Wainoni Medical Centre Amuri Community Health, North Canterbury Rolleston Medical Centre Worldise Travellers Health & Vaccination Centre Sydney Street Health Centre Lincoln Medical Grahams Road Surgery Rural Medical Immersion Programme Te Aro Health Centre The Clinic The Wood Street Doctors The Wood Street Doctors Island Bay Medical Centre Christchurch Greymouth Medical Centre McKesson New Zealand Upper Hutt Health Centre Sumner Health Centre Medibank Health Solutions Linwood Avenue Medical Centre Salisbury Health Centre Warkworth Medical Centre Fendalton Medical Centre ADHB and Ascot Central Women’s Clinic Halswellhealth Sumner Medical Rooms Ora Toa PHO Girven Road Medical Centre Girven Road Medical Centre Ethnic Riches Waikato Hospital Student Health Victoria Kaiapoi Medical Centre Scott Street Health Wadestown Medical Redcliffs Medical Centre Coastal Medical Rooms Ropata Medical Centre Northland DHB Belmont Medical Centre Advanced Paramedic/RN Riverton Medical Centre Piki Te Ora Clinic Harewood Medical Centre Featherston Medical Centre Remuera Doctors Belfast Medical Centre Mercury Bay Medical Centre University of Otago Medibank Health Solutions Te Rawhiti Family Care Centre medical centre@apollo Christchurch Hospital Bulls Medical Centre Amberley Medical Centre Amberley Alexandra New Plymouth Geraldine Christchurch Masterton Christchurch Christchurch Christchurch Christchurch Wellington Wellington Christchurch Hanmer Springs Christchurch Auckland Christchurch Lincoln Christchurch Balclutha Wellington Christchurch Auckland Auckland Wellington Christchurch Christchurch Auckland Greymouth Wellington Upper Hutt Christchurch Christchurch Christchurch Christchurch Warkworth Christchurch Auckland Christchurch Auckland Christchurch Christchurch Wellington Nelson Christchurch Mt Maunganui Mt Maunganui New Plymouth Hamilton Wellington Kaiapoi Blenheim Wellington Christchurch Paraparaumu Lower Hutt Kerikeri Auckland North Shore City Christchurch Auckland Riverton Christchurch Christchurch Wellington Auckland Christchurch Whitianga Dunedin Christchurch Christchurch North Shore City Christchurch Bulls Auckland Amberley Christchurch 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 87 Delegate Listings 88 as of 27 July 2010 Title Dr Dr Dr Dr Dr A/Prof Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr A/Prof Dr Ms Dr Dr Dr Dr Dr Dr Dr Ms Dr Dr Dr Dr Dr Dr Dr Mrs Dr Mrs Mr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr A/Prof Dr Dr Professor Dr Nurse Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Given Name Chris Greg Janet Rex Ai Ling Ed Richard Simon Anton Alex Diana Anil Daya Arna Yvonne Marie Hilary Marc Allan Jacqui Alison Gita Grant Kate Robert Phil Rob Jeanette James Branjo Gaye Phil Sarah Rhondda Dunc Denise Kenneth Philnie Tony John Bridget David Sara Sean Philip Heather Katherine Robert Phil Adrian Gary Clare Richard Peter Joshua Carolyn Stephan Eugene Sandra Olivia Pauline Donald Sue Cathy Tessa Deirdre Janine Sandra Malcolm Liz Joanne David Rosemary Alexandra Louise Phillip Nicola Greg Gwyneth Surname Rohrbach Hunter Robinson Yule Tan Gane Fisher Baker Wiles Bartle Nash Singh Singh Letica Greenfield Baird Shaw Adair Adair MacDonald Patel Spence Taylor Walton Weeks Young Blair Collins Sijnja Eden Morris Perano Turner McAllister Moran Young Elvin Ward Dehn Williams Bowie Souter Every Parkin Young Grundy Allison Bird Balasingam Hooper Botha-Reid Chisholm Joyce Howe Tallentire Gort Sia Hicks Tan Whyte Palmer Foot Allison Ryder Clink Close Fountain Stoney Steyeart Winiata Hammer Ikram Cole Draper Hamilton Manttan Down Graham Organisation Central Medical Central Medical Centre Amberley Medical Centre Amberley Medical Centre ADHB and Ascot Central Women’s Clinic Auckland City Hospital Fertility Associates Hibiscus Coast Medical Centre Remuera Doctors Sleep Well Clinic Te Atatu South Medical Centre The Wood Street Doctors The Wood Street Doctors Titirangi Family Health Care Unitec Health Centre Whitecross Henderson Worldise Travellers Health & Vaccination Centre Dr Collins Surgery Dr Collins Surgery Rural Medical Immersion Programme Lister Court Medical Centre Picton Medical Centre Scott Street Health Springlands Health Ltd Bulls Medical Centre Radius Medical, Palmerston North Advanced Paramedic/RN Amberely Medical Centre Belfast Medical Centre Canterbury DHB Christchurch Christchurch Eye Department Christchurch Hospital Christchurch Hospital Christchurch Hospital Palliative Care Service Christchurch Public Hospital Christchurch Public Hospital Christchurch Radiology Group Christchurch School of Medicine and Health Sciences Christchurch South Health Centre Christchurch Women’s Hospital Dean of the University of Otago Eastcare Fendalton Medical Centre Ferrymead Medical Centre Grahams Road Surgery Halswellhealth Halswellhealth Harewood Medical Centre Helios Integrative Medical Hillmorton Hospital Hillmorton Medical Centre Hornby Medical Centre Lincoln Medical Ltd Lincoln Road Medical Practice Lincoln Road Medical Practice Linwood Avenue Medical Centre Medibank Health Solutions Medibank Health Solutions MedlabSouth MedlabSouth Merivale Medical Practice Merivale Medical Practice Merivale Medical Practice Merivale Medical Practice Moorhouse Medical Mt Pleasant Medical Centre Regional Suburb/City Alexandra Alexandra Amberley Amberley Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Auckland Balclutha Balclutha Balclutha Banks Peninsula Blenheim Blenheim Blenheim Blenheim Blenheim Bulls Bulls Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings as of 27 July 2010 Regional Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Mrs Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr RN Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Professor Mr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Mrs Dr Dr Mr Mr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Dr Sandra Dishanthini Hillary Karen Linda Paula Zita Graham Siew-Siew Andrew Philippa John Sherryn Graham Ruth Tonya Eva Andrew Paula Peter Janine Samantha Lindsay John Roland Jeremy Landon Linda Catriona Vanessa David Hilkka Anna Caroline Maysoon Allan Tina Bernard Tearlach Hamid Yassar Liz Deanne Anna Jim Gareth Ken Camilla Sean Michael David Anya Kelvin Tree Maureen Peter Rebecca John Kathryn Julia Sarah Bere Peter Fiona Fiona Prue Mathew Luke Kirsty Nilmini David Freya Jochen Lynley Jenny Mohammed Sherif Murray Bruce Seema Barr Jayawardena Gray Dickinson Gibb Hanley Descalzo Whittaker Chua McGuire Ryan Campbell Edwardson Macdonald Pickering Sadler Van Niekirk Osborne Cummings Ryan Searle Bailey Strang Ostring Baker Hepi Hill MacGregor Stedman Thomson Sheffield Winter Ryan Abbas Sinclair Huang Fanning Maclean Ikram Alamri Schroder Bedggood Alderton Borowczyk Devonald Macdonald Spears Thomson Thwaites Zarifeh Beale DeGinder Cocks Houstoun Ripley Pope Bulow Powell Christie Missen Borrie Borrie Arnold Pickering Orchiston Hobbs Wilson Russell Gunawardana Jones Clemens Clemens Jones Spring Hasan Kalladka Nutsford Phillips Menon New Brighton Healthcare Normans Road Surgery North Avon Medical Papanui Medical Centre Papanui Medical Centre Papanui Medical Centre Piki Te Ora Clinic Piki Te Ora Clinic ProMed Edgeware QE II Medical Centre QE II Medical Centre Redcliffs Medical Centre Redcliffs Medical Centre Redcliffs Medical Centre Redcliffs Medical Centre Redcliffs Medical Centre Redcliffs Medical Centre Riccarton Clinic Riccarton Clinic and After Hours Rolleston Medical Centre Rolleston Medical Centre Salisbury Health Centre Salisbury Health Centre Scasebrook Surgery Settlers Health Centre Shirley Medical Centre South Island for the Immunisation Advisory Centre Sumner Health Centre Sumner Health Centre Sumner Medical Rooms Sydney Street Health Centre Te Rawhiti Family Care Centre Templeton Medical The Clinic The Clinic The Riccarton Clinic Union and Community Health Centre University of Canterbury Health Centre University of Otago University of Otago, Christchurch School of Medicine Wainoni Medical Centre Woolston Christian Medical Centre Cromwell Medical Centre Taraua Health Group Aurora Health Centre Dunedin Urgent Doctors & Accident Centre Gardens Medical Centre Harbour Health Port Chalmers Maori Hill Clinic Meridian Medical Centre Otago Medical School Otago Medical School Roslyn Health Centre Roslyn Health Centre Servants Health Centre Student Health Services Student Health, University of Otago University of Otago University of Otago Ngati Porou Hauora Gore Health Centre Gore Medical Centre Gore Medical Centre Greymouth Medical Centre Fairfield Medical Centre Flagstaff Medical Centre Northcare Medical Centre Otorohanga Medical Centre, Otorohonga Radius Medical Hamilton Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Christchurch Cromwell Dannevirke Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Dunedin Geraldine Gisborne Gore Gore Gore Gore Greymouth Hamilton Hamilton Hamilton Hamilton Hamilton 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 89 Delegate Listings 90 as of 27 July 2010 Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Mrs Dr Dr Dr Mrs Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Mrs Dr Dr Dr Dr Dr Dr Dr Navin Colette Jeanette Penny Graeme Vasuki Philip Nicole Andy Narasimha Rajesh Bruce Kaye Bill Stephen Belinda Ann Peter Jeff Ranatunga Claude Matthew Graham Tanya Rowan Julie Ross Jane Simon Hilary Greg Wayne Janice Richard Glenn Alan Teresa Graeme Theresa Hanan Peter Hamish Hamish Tom Rob Claire Carey Murtaza Patrick Bharat Linda Michelle Johannes Gerald Karen Janet Malcolm Adnan Han Yvonne Ross Margaret Helen Mark Hans Carol Lewis Tony Aishah Paul Jonathan Kate Allie Gemma John John Simon Sabien Beccy Rajan Torrance Phillips Croker Scrivener Annamalai Knowles Anderson Doherty Chintanginjala McKerchar Buchan Page Pitman Turnbull Davis Vujcich Shortt Kalupahana Preitner van Rij Hussein Durward Forsey Anderson Piper Prior Ryan Dunn Dunn Cunningham Muir Muir Anderson Brookes Berthelsen Tingey Tingey Habib Brooke Hilson Neill Currie Riley Thurlow Nazzer Khanbai Leary Bhakta Ruohonen Todd De Klerk Brown Barwise Mills Lyons Wan Yan LeFort Fieldes Larder McDougall Haywood Itjeshorst Drinkwater Gray Mayne Jip Jip Morton Morton Maskill McIntosh Geard Drake Riddell van Riessen Greaves Radius Medical Hamilton Waikato Hospital Amuri Community Health, North Canterbury Amuri Community Health, North Canterbury The Doctors International SOS Andy Doherty Medical Ltd South City Medical Centre Kaiapoi Medical Centre Kaiapoi Medical Centre Kaiapoi Medical Centre Kaiapoi Medical Centre Broadway Health Centre Northland DHB Lincoln Medical Avalon Medical Centre Cival Aviation Authority Ropata Medical Centre Waiwhetu Medical Centre Helios Medical Centre Coast to Coast Health care Masterton Medical Masterton Medical Matamata Medical Centre Milton Health Centre Mosgiel Health Centre Mosgiel Health Centre Greenwood Health Girven Road Medical Centre Girven Road Medical Centre Girven Road Medical Centre Maraenui Medical Centre Brooke Medical Services Dr HR Hilson Medical Services Harley Street Medical Stoke Medical Centre, Stoke CareFirst Community Medical Centre, Waitara Devon Medical Centre Eastside Medical Eastside Medical Ethnic Riches Medicross Medicross Accident & Medical Centre Strandon Health Strandon Health Albany Basin Accident and Medical Belmont Medical Centre medical centre@apollo Milford Family Medical Centre North End Health Centre North End Health Centre Kopeopeo Health Centre Toi Ora Health Otaki Medical Centre Otautau Health Otautau Health Paeroa Medical Centre Central City Medical Central City Medical Central City Medical Central City Medical Linton Military Camp | Bulls Medical Centre, Bulls Masonic Medical Centre Victoria Medical Coastal Medical Rooms Waikanae Health Centre Regional Hamilton Hamilton Hamilton Hanmer Springs Hanmer Springs Hastings Havelock North Ho Chi Minh City Invercargill Invercargill Invercargill Kaiapoi Kaiapoi Kaiapoi Kaiapoi Kerikeri Kerikeri Lincoln Lower Hutt Lower Hutt Lower Hutt Lower Hutt Lower Hutt Lower Hutt Lyttleton Mangawhai Masterton Masterton Matamata Matamata Milton Mosgiel Mosgiel Motueka Motueka Mt Maunganui Mt Maunganui Mt Maunganui Napier Nelson Nelson Nelson Nelson Nelson Nelson New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth New Plymouth North Shore City North Shore City North Shore City North Shore City Oamaru Oamaru Ohope Opotiki Otaki Otautau Otautau Paeroa Palmerston North Palmerston North Palmerston North Palmerston North Palmerston North Palmerston North Palmerston North Palmerston North Palmerston North Paraparaumu Paraparaumu 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Delegate Listings as of 27 July 2010 Regional Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Professor Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mrs Dr Dr Dr Mr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Mr Dr Dr Dr Dr Dr Charlotte Ernst Maki Simon Jean-Marc Jordi Liz Richard William Donna Judith Martin Roland Peter Shaun Stephen Daniel Nigel Anthony Kiri Helen Tim Shiree Annie Chandra Gill Shelley Jo Bridget Sergio Denise Lucy Jo Jim Elspeth Bruce Cathy Pam Penny Shane Brian Tina Glen Khalid Razia Ian Tim Brendan David Terrance Bryan Ciandra Peter Mark Rachel Rachel Kerry Rose Alison Hugh Linda Jenny Brenda Tony Christine Pip Anna Rosy Barney David John Matt Jim Graham Peter Nigel David Dempster Fuhrhop Jagose Davies de Maroussem Palau Mangan Newman Grove West Donnell London Meyer Battersby Holt Hoskin Ching Brown Morris Cameron Gardyne Gardner Johnston Fyfe Dookia Nixon Stansfield Caldwell Kuzma Battistessa Dalziel O'Hagan Millis Montgomery Dickson Sutherland Mitchell Olver Rickman Wilcox Almand Cartmell Smith Sandhu Sandhu St George Cookson Gray Bratt Cork Keenan Foley Peterson Inder Arms Thornbury Dodd Foster Townend Mellor Simpson Gibson Crutchley van Dalen de Hamel Davison Fenwicke Montgomery Mattan Apps McKevitt McKevitt Corbett Chapman-Smith Harrison Wilson Mana Medical Centre Mana Medical Centre Mana Medical Centre Queenstown Medical Centre Rakaia Medical Centre Durham Health Riccarton Medical Practice Riccarton Medical Practice Riverton Medical Centre Riverton Medical Centre Southern DHB Taupo Medical Centre Fiordland Medical Practice Timaru Hospital Timaru Medical Centre Uawa Community Health Clinic Uawa Community Health Clinic High Country Health High Country Health Twizel Medical Centre Medical Treatment Centre Upper Hutt Health Centre Upper Hutt Health Centre Waikari Clinic Waimauku Doctors Waiuku Medical Centre Waiuku Medical Centre Aspiring Medical Centre Wanaka Medical Centre Aramoho Health Centre Warkworth Medical Centre Warkworth Medical Centre Brooklyn Central Health Brooklyn Central Health Capital Care Featherston Medical Centre HVDHB Hutt Hospital Pharmacy Island Bay Medical Centre Island Bay Medical Centre Kilbirnie Medical Centre Kilbirnie Medical Centre McKesson New Zealand Medical Protection Society Medical Protection Society Ministry of Social Development Miramar Medical Centre Miramar Medical Centre New Zealand Medical Association New Zealand Medical Association Newlands Medical Centre Ora Toa Cannons Creek Ora Toa PHO Peninsular Medical Centre Seatoun Surgery Student Health Victoria Student Health, Massey University Te Aro Health Centre Terrace Medical Centre Thorndon Medical Centre Wadestown Medical Wakefield Health Centre Otago Medical School Phoenix Medical Centre ACC Skin and Vein Clinic Whangarei Hospital Mercury Bay Medical Centre Porirua Porirua Porirua Queenstown Rakaia Rangiora Riccarton Riccarton Riverton Riverton Rotorua South Westland Southland Hospital Taupo Tauranga Te Anau Timaru Timaru Timaru Tolaga Bay Tolaga Bay Twizel Twizel Twizel Upper Hutt Upper Hutt Upper Hutt Waikuku Beach Waimauku Waiuku Waiuku Wanaka Wanaka Wanganui Warkworth Warkworth Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellington Wellsford Westport Whakatane Whakatane Whangarei Whangarei Whangarei Whitianga 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 91 92 GP CME 2011 General Practice Conference & Medical Exhibition Rotorua Energy Events Centre | 9-12 June 2011 Skyline Skyr kyri rides Gondola la and Lake Roto torua, Roto otorua Join your colleagues again next year for a mix of Medical Education and Leisure at the Rotorua Energy Events Centre. Start planning now for this national GP meeting, which brings together excellent medical updates of wide practical relevance to General Practice, with Business Advice, Practice Nurses Programme, Practice Managers Programme, Medico-Political forums, and time out for family leisure at this premier conference complex in Rotorua. AVE and MOPS credits available If you would like a topic or speaker considered for inclusion in next year’s programme, please forward an abstract and biography to the contact details below: Postal: PO Box 1661, Whangarei 0140 Phone: +64 (021) 164 3815 Fax: +64 (09) 437 4089 Email: [email protected] Web: www.gpcme.co.nz 93 CREDIT CLAIM FORM - Keep this form for your records GP CME South 2010 has been endorsed by the The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 18 hours for General Practice Education Programme Stage 2 (formerly AVE) and Maintenance of Professional Standards (MOPS) purposes. This endorsement does not include the medicopolitical sessions, Eli Lilly Symposium or breakfast sessions. Main Conference Friday 6th August 0800-0805 0805-0830 0830-0855 0855-0920 0920-0945 0945-1010 1010-1030 1100-1155 1205-1300 1400-1530 1400-1425 1425-1450 1450-1515 1515-1540 1540-1600 1630-1650 1650-1710 1710-1730 1730-1750 1750-1800 How to.. Interpret ECGs How to .. Fracture Management How to .. Assessing the Dizzy and Deaf 1hr 1hr 1hr How to.. Interpret ECGs How to .. Fracture Management 1hr 1hr Main Session WS 4 is rescheduled to run at 12:05pm ONLY How to.. Trigger Point Needling How to .. Why are Patients Assessing the Better off at Dizzy and Deaf Work Mark Peterson Hamid Ikram Ken Macdonald Richard Fisher Richard Chisholm Philip Parkin 2.5 How to.. Smoking Cessation How to .. Spirometry Medtech User Group 1hr 1hr 1hr How to.. Trigger Point Needling How to.. Smoking Cessation How to .. Spirometry Medtech User Group 1hr Concurrent Sessions (55mins) 1 1 1hr 1hr 1hr 1hr 1hr 1hr Healthline: 10 years of new Bipolar Disorders and Depression Why won’t my child sleep? Can I go back to work Doc? Pearls of Neurology Appropriate use of Antibiotics 1o Care Service Ian St George How Statins Improve Lung Disease 1hr 1hr 1hr 1hr 1hr 1hr Why won’t my child sleep? Can I go back to work Doc? Pearls of Neurology Appropriate use of Antibiotics 1hr 1hr 1hr 1hr How Statins Improve Lung Disease Hypertenstion and Vitamin D Nigel Harrison New Ideas for an Old Problem: OA Knees Gary Hooper Ready Steady Crook David Bratt Bipolar Disorders and Depression 1hr Discussion Main Session Pre Hospital Care for Trauma Cardiac Emergencies Road v Fixed Wing v Rotary Wing Response Skiing Injuries Discussion 2 1hr WS 29: 1630-1730 David Bowie Hamid Ikram Tony Ward Gary Hooper Musculoskeletal Medicine Workshop Jim Borowczyk 1hr WS 30: 1730-1830 1.5 Musculoskeletal Medicine Workshop Jim Borowczyk 1hr Main Conference Saturday 7th August 0800-0830 0830-0855 0855-0920 0920-0945 0945-1010 1010-1030 Hours Welcome Address Chairman NZMA GP Council Heart Failure Revisited Management Options for Skin Cancer Issues in Fertility Optimal Breast Cancer Screening Is it really epilepsy? Discussion Concurrent Sessions (55mins) Microbiology in Infectious Disease Influenza Travel Medicine: Not Just Bugs Sexual Health Epidemics Discussion Rosemary Ikram Rob Young David Hammer Heather Young Rosemary Ikram 2.5 Concurrent Sessions (55mins) 1100-1155 Travel Medicine Case Studies Breast Cancer Diagnosis Performing Vasectomies 1205-1300 Travel Medicine Case Studies Breast Cancer Diagnosis Performing Vasectomies 1400-1455 A Prescribers Guide to the Galaxy Palliative Care as a Team Medtech User Group 1505-1600 A Prescribers Guide to the Galaxy Palliative Care as a Team Cardiac Case Studies Lumps & Bumps in the Head & Neck Guidelines v EBM: Respiratory Case Studies So What if Your Patient Happens to Fly 1 Guidelines v EBM: Respiratory Case Studies So What if Your Patient Happens to Fly 1 Hypertension Hands on Ultrasound in GP 120 mins 1 Concurrent Sessions (55mins) Cardiac Case Studies Lumps & Bumps in the Head & Neck Concurrent Sessions (55mins) Case Studies in Common GP Skin Conditions Eye Case Studies Concurrent Sessions (55mins) 1630-1730 Medtech User Group Case Studies in Common GP Skin Conditions Eye Case Studies Hypertension 1 MPS - Hot Issues: What’s New in the Medicolegal Workplace Continued on next page... Tear along dotted Line Phil Weeks 1 Sub Total Keep the Attendance Certificate for your records, and apply for your MOPS or AVE CME points through your normal quarterly reporting to the RNZCGP. You may be asked for a copy of your Attendance Certificate by the RNZCGP or New Zealand Medical Council, so file in an appropriate place. While the conference is approved for up to a maximum of 18 hours GPs attending can only claim for the conference sessions they attend. Delegates will need to complete this self-recording form. This form can be kept as the Certificate of Attendance, so practitioners participating in GPEP 2 or MOPs have the necessary documentation for submission to the RNZCGP when this is requested. 6-8 August 2010 | Hotel Grand Chancellor | Christchurch Saturday 7th August Practice Nurses Programme 0800-0830 0830-0855 0855-0920 0920-0945 0945-1010 1010-1030 Microbiology in Infectious Disease Influenza Travel Medicine: Not Just Bugs Sexual Health Epidemics Discussion 1100-1125 1125-1150 1150-1215 1215-1240 1240-1300 1400-1425 1425-1450 1450-1515 1515-1530 1600-1700 1700-1730 Managing Pelvic Malignancy Dispensing to the Elderly Hepatitis B and C 101 Eye Pot Pourri Discussion - Q and A panel Screening for Breast Cancer Healing Leg Ulcers The Joys of Vitamin D Discussion - Q and A panel Immunisation Workshop Discussion Saturday 7th August 0830-1030 1100-1300 0855-0920 0920-0945 0945-1010 1010-1025 1100-1125 1125-1150 1150-1215 1215-1230 1230-1300 Ai Ling Tan Brian Almand Ed Gane Sean Every Richard Chisholm Peter Chapman-Smith Nigel Harrison Linda Hill 2.5 2 1.5 1.5 Medical Assurance Society Business Summit WS 31 - MAS Business Summit “The Essentials of Staff Management” WS 71 - MAS Financial Session “Practical Financial Management” Sunday 8th August 0830-0855 Rosemary Ikram Rob Young David Hammer Heather Young Rosemary Ikram Chris Wills Chris Wills & John Glue 2 2 General Practice Programme Better Community Respiratory Care Roland Meyer CT Colonography Musculoskeletal Radiology Cases 1hr Hot tips in Rheumatology 1hr Gynaecologic Cancer 1hr Aviation Medicals Expanding Horizons 1hr Prescribing for Anxiety and Depression 1hr Vaccinations for Travellers 1hr Musculoskeletal Radiology Cases 1hr Hot tips in Rheumatology 1hr Gynaecologic Cancer 1hr Aviation Medicals Expanding Horizons 1hr Prescribing for Anxiety and Depression 1hr Vaccinations for Travellers 1hr Adrian Balasingam Glaucoma 101 2 Sean Every Wilderness Medicine John Apps Discussion Biologics in Inflammatory Rheumatic Diseases A New Screening Tool for Hepatitis C Atrial Fibrillation Discussion Clinical Quiz Daniel Ching Ed Gane Hamid Ikram Hamid Ikram Name:___________________________________________ Signature:________________________________________ Date: / 2 Total / 2010 Keep the Attendance Certificate for your records, and apply for your MOPS or AVE CME points through your normal quarterly reporting to the RNZCGP. You may be asked for a copy of your Attendance Certificate by the RNZCGP or New Zealand Medical Council, so file in an appropriate place. While the conference is approved for up to a maximum of 18 hours GPs attending can only claim for the conference sessions they attend. Delegates will need to complete this self-recording form. This form can be kept as the Certificate of Attendance, so practitioners participating in GPEP 2 or MOPs have the necessary documentation for submission to the RNZCGP when this is requested. NZNO Colleen O'Connell Chairperson Date: Saturday 7th August 2010 attended a 7 hour CNE session at the GP-CME South 2010 Conference on the 7th August 2010 This is to certify that llege of P o C NZ College of Practice Nurses NZNO Zealand ew N Tear along dotted Line s tice Nurse c ra 96 97 GP CME South 2010 Conference Evaluation Form Please complete this conference evaluation questionnaire to help us plan future conferences. Please circle the number that best represents your opinion. Academic Programme 1. How would you rate this conference overall? Poor 1 2 3 4 Adequate 8. Which were the top THREE topics in your opinion? 5 Excellent ________________________________________________ ________________________________________________ ________________________________________________ 2. How well did the conference fulfill your expecations? 9. Who were the top THREE presenters in your opinion? Did not fulfil 1 2 3 4 Adequate 5 Exceeded ________________________________________________ ________________________________________________ 3. Overall how relevant do you think the content was to General Practice? ________________________________________________ Irrelevant 10. Do you have any constructive comments for any of the speakers re their presentation content/style? 1 2 3 4 Partially relevant 5 Relevant ________________________________________________ 4. To what extent did the breadth of topics meet your professional development needs? ________________________________________________ ________________________________________________ Needs not met 1 2 3 4 Needs partially Met 5 Needs met Social Programme 11. What did you LIKE about the social programme? 5. Were there enough CME sessions? ________________________________________________ Too few 1 2 3 4 Just right 5 Too many ________________________________________________ ________________________________________________ 6. Overall were there enough interactive opportunities during presentations? Too few 1 2 3 4 Just right 5 Too many No ________________________________________________ ________________________________________________ 7. Were workshop topic options sufficient to provide enough variety? Yes 12. What suggestions can you make for next year? Don’t know Comments: ______________________________________ ________________________________________________ ________________________________________________ 13. How helpful was the conference in assisting you to network with GP’s and other primary care health professionals Unhelpful 1 2 3 4 Adequate Tear along dotted Line ________________________________________________ ________________________________________________ 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 5 Very helpful 98 GP CME South 2010 Conference Evaluation Form 19. What aspects of the VENUE would you like to see future conferences IMPROVE ON? Organistation ation and andVenue Venue 14. What were the BEST aspects of the conference ORGANISATION? ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Demographics (Please circle the appropriate response) ________________________________________________ 20. Are you: 15. What aspects of the ORGANISATION would you like to see future conferences IMPROVE ON? ________________________________________________ Male Female 21. Are you a: General Practitioner Practice Nurse General Practice Registrar Practice Manager ________________________________________________ ________________________________________________ Other: ___________________________________________ (please specify) 16. Do you feel you had value for money? Yes No Not sure 22. Age: 20-35 36-50 51-70 Comments: _______________________________________ ________________________________________________ 23. How many years have you worked in general practice? ________________________________________________ ________________________________________________ 17. Would you recommend to a friend/colleague? 24. Do you practice in a: Yes No Not sure Comments: _______________________________________ Main Centre Practice with: Provincial Town Solo 2 3 Rural area 4 ________________________________________________ ________________________________________________ 18. What were the BEST aspects of the conference VENUE? ________________________________________________ ________________________________________________ ________________________________________________ Thank Yo Y u 1. Leave in box at registration desk 2. Fax/Post to: The Manager,r Conference Matters, PO Box 1661, Whangarei, New Zealand. Fax: +64 (0)9 437 4089 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 5+ Christchurch Covention Centre | Christchurch 29 July - 1 August 2011 Snow Boarding - Mt Hutt Join your colleges again for a mix of Medical Education and leisure at the Christchurch Convention Centre. Start planning now for this national GP meeting, which brings together excellent medical updates of wide practical relevance to General Practice. Content will focus on sharp, sharp and to the point clinical updates to change your behaviour immediately. For further details visit www.gpcme.co.nz/south or email [email protected] AVE and MOPS credits available Postal: PO Box 1661, Whangarei 0140 Phone: +64 (021) 164 3815 Fax: +64 (09) 437 4089 Email: [email protected] Web: www.gpcme.co.nz/south GOLD SPONSORS 100 SILVER SPONSORS A Promise for Life Postal: PO Box 1661, Whangarei 0140, Physical: 3 Haronui Street, Whangarei 0112 Phone: +64 (021) 164 3815, Fax: +64 (09) 437 4089 Email: [email protected], Web: www.conferencematters.co.nz 6-8 August 2010 | Hotel Grand Chancellor | Christchurch 3184AT Jeff Oliver Print Ltd EXHIBITORS & SPONSORS