Ontario Long Term Care Physicians (OLTCP)
&
Long Term Care Medical Directors
Associaon of Canada (LTCMDAC)
CANADIAN MEDICAL DIRECTORS
7th ANNUAL JOINT MEETING
NOVEMBER 7, 2014
&
37th ANNUAL MEETING
LONG TERM CARE FOR PRACTICING CLINICIANS
NOVEMBER 8, 9, 2014
Sheraton Centre Hotel
Toronto, Ontario
ACCREDITATION
This program has been accredited by the College of Family
Physicians of Canada and the Ontario Chapter for up to
16 Mainpro-M1 credits
REGISTRATION &
PROGRAM GUIDE—2014
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 1
Dear Colleague,
You are invited to attend Ontario Long Term Care Physicians’
37th Annual Meeting, “Long Term Care for Practicing Clinicians”
to be held November 8th and 9th and the 7th Annual Conjoint Meeting with the Long Term Care
Medical Directors’ Association of Canada (LTCMDAC) on November 7th, 2014 at the Sheraton
Centre Hotel, downtown Toronto, Ontario.
This year’s program features three full days of clinical learning with a mixture of plenaries and
small group workshops. Highlights include Acute Management of Severe Aggression,
Ethics, Deprescribing, Psychiatric Disorders and End of Life Care. The workshops will cover a
wide range of issues including a range of complex medical issues, quality improvement, and
sexuality.
We are offering an expanded Exhibit Hall this year, with more Exhibitors and opportunities for
engagement and networking on the first 2 days of the conference. Many are returning
exhibitors, continuing to support the meeting and our organizations. Some are new and are
eager to meet the attendees and to take part in this event.
It has been another productive year for the Ontario Long Term Care Physicians. In addition to
organizing the clinical conference this coming fall we have successfully developed and delivered
the first LTC Medical Director Training in Ontario. Over 60 Medical Directors attended the
inaugural training in May and we are looking forward to continued development and
implementation over the coming years. It has been a tremendous opportunity to work with such
a dedicated and passionate group of practitioners working in an increasingly complex health
care sector.
We look forward to seeing you in Toronto this fall!
Andrea L. Moser, MD , MSc, CCFP, FCFP
President, OLTCP
Dear Colleagues,
The Long Term Care Medical Directors Associaon of Canada
would like to strongly encourage you to consider aending its
annual conjoint meeng in Toronto Friday November 7th 2014. It
will precede the weekend meeng of the OLTCP on Saturday and Sunday (November 8/9 2014).
This meeng will be of great interest and relevance to anyone who works in residenal care,
nursing homes, personal care homes or any facility based care. The modern LTC medical director
is expected to meet a wide range of expectaons from strategic planning and reporng to
paent/family care to crisis management. Our one day conference will be held in a plenary
format and will cover those issues that are most pernent to the physician leader in the nursing
home. Our faculty has a keen understanding of the day to day challenges of LTC and will
provide praccal answers and ideas to some of the most common areas of concern. We are
especially pleased to have Professor Marn Smalbrugge visit us from Amsterdam to provide a
proﬁle of progressive LTC in the Netherlands as well as Dr. Susan Mitchell from Harvard to talk
on end stage demena care. Our meeng is open to all but space will be limited. On behalf of
our Board I thank you for your interest and look forward to meeng you in Toronto in the fall.
Paddy Quail, MB
President, LTCMDAC
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 2
ONTARIO LONG TERM CARE PHYSICIANS, BOARD OF DIRECTORS, 2014
OLTCP EXECUTIVE
PRESIDENT
VICE-PRESIDENT
PAST PRESIDENT
TREASURER
SECRETARY
DR. ANDREA MOSER
DR. EVELYN WILLIAMS
DR. LYLA GRAHAM
DR. RAMESH ZACHARIAS
DR. J. FRED MATHER
OLTCP CONFERENCE COMMITTEE
DR. SID FELDMAN
DR. LYLA GRAHAM
DR. PAUL KATZ
DR. FRED MATHER
DR. CHRISTOPHER RAGONETTI
DIRECTORS
DIRECTOR
DIRECTOR
DIRECTOR
DIRECTOR
DIRECTOR
DIRECTOR
DIRECTOR
DR. JULIE AUGER
DR. STEPHEN CHRIS
DR. SID FELDMAN
DR. ROSS JOHNSON
DR. PAUL KATZ
DR. STEPHEN NG
DR. CHRISTOPHER RAGONETTI
ONTARIO LONG TERM CARE PHYSICIANS OFFICE, 2014
OFFICE MANAGER
ELLEN MARACLE-BENTON
MEMBERSHIP AND REGISTRATION MANAGER
GEORGINA SMITH
OFFICE COORDINATORS
ELYSSA CODY
KRISTA MARACLE
OLTCP OFFICE
1143 Wentworth Street West, Suite #202
Oshawa, ON L1J 8P7
[email protected]
T: 905-404-9545
F: 905-404-3727
www.oltcp.ca
LONG TERM CARE MEDICAL DIRECTORS
ASSOCIATION OF CANADA
BOARD, 2014
BARRY CLARKE, HALIFAX
SERGE GINGRAS, MONTREAL
BRIAN LAURSEN, REGINA
DEV MAHER, VANCOUVER
ANDREA MOSER, TORONTO
PADDY QUAIL, CALGARY
DAVE STRANG, WINNIPEG
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 3
CONFERENCE SCHEDULE AT A GLANCE
FRIDAY NOVEMBER 7
SATURDAY NOVEMBER 8
SUNDAY NOVEMBER 9
7:00 am—5:15 pm
Registraon Open
7:00 am—5:30 pm
Registraon Open
7:30 am—3:30 pm
Registraon Open
7:00 am—8:15 am
Connental Breakfast
7:00 am—8:15 am
Connental Breakfast
7:30 am—8:45 am
Connental Breakfast
8:15 am—8:30 am
Opening Remarks
8:15 am—8:30 am
Opening Remarks
8:45 am—10:00 am
Concurrent Workshops 201A-210A
8:30 am—10:15 am
Plenary Sessions
8:30 am—10:30 am
Plenary Sessions
10:00 am—10:30 am
Refreshment Break
10:15 am—10:45 am
Refreshment Break and Exhibits
10:30 am—11:00 am
Refreshment Break and Exhibits
10:30 am—11:45 am
Concurrent Workshops 201B-210B
10:45 am—12:30 pm
Plenary Sessions
11:00 am—12:00 pm
Plenary Session
11:45 am—1:00 pm
Buﬀet Luncheon
12:30 pm—1:45 pm
Buﬀet Luncheon & Exhibits
12:00 pm—12:10 pm
LTC Physician of the Year Award
1:00 pm—1:15 pm
OMA Presentaon
1:45 pm—3:15 pm
Plenary Sessions
12:10 pm—1:15 pm
Buﬀet Luncheon & Exhibits
1:15 pm—3:30 pm
Plenary Sessions
3:15 pm—3:45 pm
Refreshment Break and Exhibits
1:15 pm—2:30 pm
3:30 pm
Concurrent Workshops 101A-110A Closing Remarks
3:45 pm—4:30 pm
Plenary Session
2:30 pm—3:00 pm
Refreshment Break and Exhibits
4:30 pm—5:15 pm
LTCMDAC AGM
3:00 pm—4:15 pm
Concurrent Workshops 101B-110B
5:15 pm—7:00 pm
Wine and Cheese Recepon
4:15 pm—5:30 pm
OLTCP AGM
3:45 pm
Conference ends
5:30 pm
Free Evening
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 4
7th
PROGRAM
Annual Joint Meeting, 2014
FRIDAY NOVEMBER 7, 2014
CANADIAN MEDICAL DIRECTORS CONJOINT MEETING
7:00 am – 5:15 pm
REGISTRATION OPEN
7:00 am – 8:15 am
CONTINENTAL BREAKFAST
8:15 am – 8:30 am
OPENING REMARKS
CHAIRPERSON: PATRICK QUAIL MB, PRESIDENT, LTCMDAC
8:30 am – 9:30 am
QUALITY OF LIFE IN THE NURSING HOME AND MDS
Speakers: John Hirdes PhD, George Heckman MD
Learning Objecve:
An internaonal quality improvement collaborave (Seniors Quality Leap Iniave) that aims to improve the quality of life for Nursing Home
residents using and sharing MDS data.
9:30 am – 10:15 am
PROVINCIAL REPORT: DEVELOPMENTS IN LTC FROM ACROSS THE COUNTRY
Speaker: Serge Gingras MD, Deviani Maher MD; Andrea Moser MD, Barry Clarke MD
Learning Objecve:
An update from across the country from LTCMDAC Board members on key developments in Long Term Care of interest to the Medical Director.
10:15 am – 10:45 am
REFRESHMENT BREAK AND EXHIBITS
10:45 am – 11:45 am
PALLIATIVE CARE FOR NURSING HOME RESIDENTS WITH ADVANCED DEMENTIA:
WHAT PROVIDERS NEED TO KNOW
Speaker: Susan Mitchell MD
Learning Objecves:
1. Describe clinical course of advanced demena.
2. Present most common complicaons in the long term care seng.
3. Outline an approach to decision-making based on the best available evidence.
11:45 am – 12:30 pm
POLYPHARMACY
Speaker: Brian Steeves MD
Learning Objecve:
Of residents living in LTC, 61% receive 10 or more medicaons which is more than twice that of community-dwelling seniors. A Canadian
iniave to reduce inappropriate medicaon use in the elderly will be pernent to the nursing home where paradoxically there is lile
evidence for most drug use yet ulizaon is among the most intensive of all care sengs.
12:30 pm – 1:45 pm
BUFFET LUNCHEON AND EXHIBITS
1:45 pm – 2:30 pm
APPROPRIATE USE OF ANTISYCHOTICS IN LTC AND BEYOND: AN INITIATIVE OF
ALBERTA’S SENIORS HEALTH SCN
Speaker: Duncan Robertson, MD
Learning Objecve:
In Alberta 26.7% (a recent review of CIHI data from 5 provinces, ulizaon in Canada was 41%) of Nursing Home residents are prescribed
anpsychocs without a diagnosis of psychosis. This session will describe an iniave that has successfully reduced ulizaon in test sites and
is about to be generalized to the whole province.
2:30 pm – 3:15 pm
HOW BC IS ENCOURAGING FAMILY PHYSICIANS TO WORK IN RESIDENTAL CARE
Speaker: Larry Barzelai MD
Learning Objecve:
A key role for the Medical Director is physician resource planning i.e. recruitment and retenon. With the average age of the NH physician
workforce in the mid-50’s and a looming need for medical care in the Nursing Home, this session will outline an iniave in BC aimed at
rejuvenang their medical staﬀ.
3:15 pm – 3:45 pm
REFRESHMENT BREAK AND EXHIBITS
3:45 pm – 4:30 pm
LTC MEDICINE: THE DUTCH EXPERIENCE
Speaker: Marn Smalbrugge MD
Learning Objecve:
Holland has developed their own speciality of Nursing Home medicine. This session will outline their model with possible applicaon to the
Canadian care seng.
4:30 pm – 5:15 pm
5:15 pm—7:00 pm
LTCMDAC ANNUAL GENERAL MEETING
WINE AND CHEESE WELCOME RECEPTION
Open to all OLTCP and LTCMDAC aendees.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 5
37th
PROGRAM
Annual Meeting, 2014
SATURDAY NOVEMBER 8, 2014
LONG TERM CARE FOR PRACTICING CLINICIANS
7:00 am—5:30 pm
REGISTRATION OPEN
7:00 am – 8:15 am
CONTINENTAL BREAKFAST
8:15 am – 8:30 am
OPENING REMARKS
Lyla Graham MD; Andrea Moser MD
CHAIRPERSON: LYLA GRAHAM MD, EXECUTIVE, OLTCP
8:30 am – 9:30 am
CARE AT THE END OF LIFE: AN EVOLVING CANADIAN LANDSCAPE
Speaker: Jeﬀ Blackmer MD
Learning Objecves:
1. Be able to describe the current state of Canadian legal iniaves in the area of assisted dying.
2. Be aware of the diﬀerent internaonal approaches to assisted dying.
9:30 am – 10:30 am
PSYCHIATRIC DISORDERS IN LONG-TERM CARE: CHALLENGES &
OPPORTUNITIES
Speaker: David K. Conn MB, BCh, BAO, FRCPC
Learning Objecves:
1. Review the prevalence of psychiatric disorders in LTC Homes.
2. Provide an overview of the management of major psychiatric disorders in the LTC populaon.
3. Consider some of the unique challenges related to caring for this group of residents.
10:30 am – 11:00 am
11:00 am – 12:00 pm
REFRESHMENT BREAK AND EXHIBITS
VIOLENCE AND AGGRESSION IN LTC: PREDICTION AND MANAGEMENT
Speaker: Kiran Rabheru MD
Learning Objecves:
1. Develop an approach to the assessment of persons with aggressive behaviours in LTC homes.
2. Develop an approach to management of individuals with escalang aggressive behaviours with risk to self or others.
3. Be knowledgeable in pharmacologic strategies and appropriate use of psychotropic medicaons in the management of persons with
aggressive behaviours.
12:00 pm – 12:10 pm
LTC PHYSICIAN OF THE YEAR
Presenter: Fred Mather MD
12:10 pm – 1:15 pm
BUFFET LUNCHEON AND EXHIBITS
1:15 pm – 2:30 pm &
3:00 pm – 4:15 pm
CONCURRENT WORKSHOPS (101A-110A)
Please choose one session per me slot
Note: Workshops are repeated at 3:00 pm (101B-110B)
Session 101A—1:15 pm —2:30 pm
Session 101B—3:00 pm—4:15 pm
URINARY TRACT INFECTION IN OLDER ADULTS
Speaker: Baldwin Toye MD
Learning Objecves:
Parcipants will be able to:
1. Describe the management of asymptomac bacteriuria and symptomac UTI.
2. Idenfy the challenge in diﬀerenang asymptomac bacteriuria from symptomac UTI in long term care residents.
3. List two negave consequences of overulizaon of anmicrobials for suspected UTI.
Session 102A —1:15 pm —2:30 pm
Session 102B —3:00 pm—4:15 pm
BOTULINUM TOXIN IN ELDERLY PEOPLE WITH INCREASED TONE: INDICATIONS AND TREATMENT GOALS
Speaker: Galit Kleiner-Fishman MD
Learning Objecves:
1. Discuss spascity and use of Botulinum Toxin.
2. Discuss demena “epidemic” and burden of paratonic rigidity in people with demena.
3. Describe the results of pilot trial using botulinum toxin in people with demena, paratonia and involuntary postures interfering with
care.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 6
37th
PROGRAM
Annual Meeting, 2014
SATURDAY NOVEMBER 8, 2014 (Connued)
LONG TERM CARE FOR PRACTICING CLINICIANS
Session 103A—1:15 pm —2:30 pm
Session 103B—3:00 pm—4:15 pm
ANEMIA
Speaker: Janet MacEachern MD
Learning Objecves:
1. Provide common causes of anemia in the frail elderly.
2. Review appropriate invesgaons for anemia.
3. Recommend the appropriate use of iron and related therapies, transfusion and erythropoiesis-smulang agents.
4. Provide or elicit case-based examples.
Session 104A—1:15 pm —2:30 pm
Session 104B—3:00 pm—4:15 pm
CONGESTIVE HEART FAILURE
Speaker: George Heckman MD
Learning Objecves:
1. Advise on the resources for diagnosis and monitoring of CHF in LTC.
2. Give strategies to avoid transfer to ER.
3. Diﬀerenate between acve and palliave management.
Session 105A—1:15 pm —2:30 pm
Session 105B—3:00 pm—4:15 pm
APPROPRIATE PRESCRIBING IN LTC
Speakers: Joint Presentaon OMA/MOHLTC, speaker to be determined
Learning Objecves:
1. To introduce the concept of appropriate prescribing in Long Term Care Paents.
2. To study the role of Academic Detailing and Audit and Feedback as techniques to improve prescribing paern in Long Term Care.
Anpsychocs, benzodiazepines as well as anbiocs use in asymptomac bacteriuria will be used in the study.
3. To share evidence and ideas on risk and beneﬁt of medicaon use in long term care residents with mulple co-morbidies and limited
end of life care plans.
4. To seek input on Appropriate Prescribing projects which might improve paent care.
Session 106A—1:15 pm —2:30 pm
Session 106B—3:00 pm—4:15 pm
CHALLENGING DERMATOLOGIC ISSUES IN LTC
Speaker: Esiahas Amdemichael MD
Learning Objecves:
1. To give an approach to blistering disorders with emphasis on bullous pemphigoid.
2. To outline the management of venous stasis/ulcers.
Session 107A—1:15 pm —2:30 pm
Session 107B—3:00 pm—4:15 pm
RESIDENT RIGHTS IN LTC
Speaker: Jane Meadus LL.B
Learning Objecves:
1. Gain a broader understanding of the legislave requirements of the Residents Rights set out in Secon 2 of the Long Term Care Homes
Act.
2. Understand how the Residents Rights intersect with the Health Care Consent Act, Public Health Informaon Protecon Act and the
requirements under the Medicine Act and other relevant legislaon.
3. Understand the reporng dues under the Long Term Care Homes Act as they relate to abuse and neglect.
Session 108A—1:15 pm —2:30 pm
Session 108B—3:00 pm—4:15 pm
SUPPORTING INTERDISCIPLINARY PRACTICE THROUGH UNDERSTANDING THE NEW BILLING CODES IN LONG TERM CARE
SPEAKER: Andrea Moser MD
Learning Objecves:
1. Understand the fee for service opons in LTC including fee codes outside of the monthly management fee.
2. To update on current OHIP codes and criteria.
3. To understand codes that support interdisciplinary care and quality iniaves.
4. To understand codes which may be used for high risk areas such as wound care and behaviour management.
5. To understand delegated acts within LTC.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 7
37th
PROGRAM
Annual Meeting, 2014
SATURDAY NOVEMBER 8, 2014 (Connued)
LONG TERM CARE FOR PRACTICING CLINICIANS
Session 109A—1:15 pm —2:30 pm
Session 109B—3:00 pm—4:15 pm
TECHNOLOGIES FOR NEW MODELS OF CARE
Speaker: Ron Riesenbach P.Eng
Learning Objecves:
1. Get acquainted with a framework to beer understand emerging technologies for paent care.
2. See examples how telemedicine, mhealth and personalized healthcare are transforming clinical care.
3. Get hands-on experience with several emerging technologies in a “speed-dang” like seng.
4. Recognize where new technologies and service models can be applied in your pracce.
Session 110A—1:15 pm —2:30 pm
Session 110B—3:00 pm—4:15 pm
EDUCATION IN LONG TERM CARE: CONNECTING MEDICAL KNOWLEDGE, MENTORSHIP AND STORY-TELLING
Speaker: Doug Oliver MD
Learning Objecves:
1. Show how a physician can be a role model for students, care providers and colleagues in LTC.
2. Present cases of the role of paent narrave in LTC.
3. Give examples of ethical decision making in LTC.
2:30 pm – 3:00 pm
REFRESHMENT BREAK AND EXHIBITS
3:00 pm – 4:15 pm
CONCURRENT WORKSHOPS (101B-110B)
Please choose one session per me slot
(See lisngs on pages 6, 7 & 8)
Note: These workshops are repeated from the 1:15
pm me block
4:15 pm – 5:30 pm
OLTCP ANNUAL GENERAL MEETING
5:30 pm
FREE EVENING
SUNDAY NOVEMBER 9, 2014
LONG TERM CARE FOR PRACTICING CLINICIANS
7:30 am – 3:30 pm
REGISTRATION OPEN
7:30 am – 8:45 am
CONTINENTAL BREAKFAST
8:45 am – 10:00 am &
10:30 am – 11:45 am
CONCURRENT WORKSHOPS (201A-210A)
Please choose one session per me slot
Note: Workshops are repeated at 10:30 am (201B-210B)
Session 201A—8:45 am—10:00 am
Session 201B—10:30 am—11:45 am
NEW ORAL ANTICOAGULANTS: RISKS AND BENEFITS TO RESIDENTS IN LONG TERM CARE
Speaker: David Newman MD
Learning Objecves:
1. Review the indicaons and contraindicaons for use.
2. Review the beneﬁts and risks of use in frail residents with mulple co-morbidies.
Session 202A—8:45 am—10:00 am
Session 202B—10:30 am—11:45 am
“IT’S NOT THE RESIDENT, IT’S THE FAMILY”: COPING WITH CHALLENGING FAMILY MEMBERS IN LTC
Speaker: Chrisna Van Sickle MSW
Learning Objecves:
1. List the rights, responsibilies and limits of family members under the LTC Homes Act and Regulaons.
2. Understand factors driving family behaviour.
3. Apply strategies to minimize disrupve behaviour.
4. Engage challenging family members as partners in care.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 8
37th
PROGRAM
Annual Meeting, 2014
SUNDAY NOVEMBER 9, 2014, (Connued)
LONG TERM CARE FOR PRACTICING CLINICIANS
Session 203A—8:45 am—10:00 am
Session 203B—10:30 am—11:45 am
“DYING NOT IN VAIN” : HOW LESSONS LEARNED FROM THE ONTARIO CORONER’S GERIATRIC AND LONG TERM CARE
REVIEW COMMITTEE CAN IMPROVE OUR NURSING HOME CARE
Speakers: Roger Skinner MD; Sid Feldman MD
Learning Objecves:
1. List the problems that can lead to unnecessary deaths in LTC residents based on Coroner Commiee reviews.
2. Recognize issues in LTC that can potenally lead to unnecessary death.
3. Apply strategies to minimize the likelihood of unnecessary death in LTC.
Session 204A—8:45 am—10:00 am
Session 204B—10:30 am—11:45 am
PRACTICAL QUALITY IMPROVEMENT IN LONG TERM CARE
Speakers: Andrea L. Moser MD; Evelyn Williams MD
Learning Objecves:
1. To be aware of the relevance of quality in LTC.
2. To apply common QI tools.
Session 205A—8:45 am—10:00 am
Session 205B—10:30 am—11:45 am
“PLEASE KEEP ME OUT OF THE ER” A PALLIATIVE CARE APPROACH TO MANAGING ACUTE SYMPTOMS IN LTC
Speaker: Daphna Grossman MD
Learning Objecves:
1. Have an approach to managing common acute symptoms associated with malignant and non-malignant terminal illness.
2. Have an approach to managing palliave care emergencies.
3. Feel comfortable using palliave care tools to determine when residents are approaching end of life.
Session 206A—8:45 am—10:00 am
Session 206B—10:30 am—11:45 am
SEXUALITY IN LONG TERM CARE HOMES: ETHICAL CONSIDERATIONS AND BEST-CARE PRACTICES
Speakers: Marcia Sokolowski PhD; Ken Schwartz MD
Learning Objecves:
1. Increasing understanding of the concepts of sexuality, inmacy, expression of sexuality in older adults.
2. Raise awareness of demena-related sexual expression and the associated diﬃcules and challenges for staﬀ and families.
3. Examine ethical consideraons involved in intervenons regarding the expression of sexuality by individuals with demena.
Session 207A—8:45 am—10:00 am
Session 207B—10:30 am—11:45 am
PREVENTION OF FALLS IN LTC
Speaker: Sheri-Lynn Kane MD
Learning Objecves:
1. Review risk factors for falls.
2. Give strategies for fall prevenon.
3. Address high risk situaons, for example Parkinson’s and Hunngton’s.
4. Provide or elicit case-based examples.
Session 208A—8:45 am—10:00 am
Session 208B—10:30 am—11:45 am
CHALLENGING ORGANISMS IN CHALLENGIING ENVIRONMENTS: COPING WITH DRUG-RESISTANT BACTERIA IN LTC
Speaker: Allison McGeer MD
Learning Objecves:
1. Minimize the development of resistant bacteria in the nursing home through evidence based prevenon.
2. Divide paents into those who should be treated and those who should not.
3. Provide eﬀecve therapy for common, serious drug resistant organisms.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 9
37th
PROGRAM
Annual Meeting, 2014
SUNDAY NOVEMBER 9, 2014 (Connued)
LONG TERM CARE FOR PRACTICING CLINICIANS
Session 209A—8:45 am—10:00 am
Session 209B—10:30 am—11:45 am
INTERACT: A QUALITY IMPROVEMENT APPROACH TO REDUCE UNNECESSARY TRANSFERS FROM LTCH’S
Speaker: Paul Katz MD; Angela Uy RN
Learning Objecves:
1. Understand how PSW and nursing based communicaon tools can enhance physician decision making.
2. Describe how care paths and advance care planning impact on unnecessary hospitalizaons.
3. Understand the resources and infrastructure necessary to successfully implement INTERACT.
Session 210A—8:45 am—10:00 am
Session 210B—10:30 am—11:45 am
OPTHAMOLOGY
Speaker: Lawrence Weisbrod MD
Learning Objecves:
1. Update in Glaucoma Management in the Elderly.
2. Ocular emergencies in LTC.
3. Common geriatric eye problems.
4. Tips and tricks for residents with demena who require ophthalmic treatment.
10:00 am – 10:30 am
REFRESHMENT BREAK
10:30 am – 11:45 am
CONCURRENT WORKSHOPS (201B-210B)
Please choose one session per me slot
(See lisngs on pages 8, 9 & 10)
Note: These workshops are repeated from the 8:45 am me block
11:45 am – 1:00 pm
BUFFET LUNCHEON
1:00 pm – 1:15 pm
OMA PRESENTATION
CHAIRPERSON: EVELYN WILLIAMS MD, VICE-PRESIDENT, OLTCP
1:15 pm – 2:00 pm
SLEEP DISORDERS IN DEMENTIA
Speaker: Brian Murray MD
Learning Objecves:
1. Recognize and categorize common sleep problems in paents with demena.
2. Have an approach to the assessment of common sleep issues in demena.
3. Ulize non pharmacologic approaches to manage common sleep problems encountered in paents with demena.
2:00 pm— 2:45 pm
DEVELOPING AND USING DEPRESCRIBING GUIDELINES: EXAMPLE PPI
Speaker: Barbara Farrell Pharm.D
Learning Objecves:
1. Discuss the applicaon and limitaons of current deprescribing research.
2. Explain the process of developing an evidence-based deprescribing guidelines for proton pump inhibitors.
3. Apply the PPI deprescribing guideline recommendaons to individual paent cases.
2:45 pm – 3:30 pm
HOT TOPICS IN LTC: A CMPA PERSPECTIVE
Speaker: Ross Berringer MD
Learning Objecves:
1. To idenfy two medico legal risks when prescribing opiates and marijuana.
2. To be able to describe two areas of medical legal risk in the context of collaborave care.
3:30 pm
CLOSING REMARKS
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 10
FACULTY
ESIAHAS AMDEMICHAEL, CCFP, FRCP
Dr. Amdemichael is a dermatologist in private pracce in Kitchener primarily interested in general dermatology. He is
also a consultant Dermatopathologist. He received his MD from the University of Toronto followed by postgraduate
training in Anatomic Pathology and Dermatology at the University of Toronto and University of Oawa respecvely. He
has been involved in both undergraduate and postgraduate educaon and is Assistant Professor of Medicine (Adjunct)
at McMaster University. He is acvely involved in various commiees of the Canadian Dermatology Associaon and is
past secretary of the Canadian Dermatology Associaon.
LARRY BARZELAI, MD
Dr. Larry Barzelai has been a family physician in Vancouver for over 30 years. He also works on a geriatric rehabilitaon
ward and in nursing homes. He enjoys teaching students, residents and IMG's. The Residenal Care Subcommiee of
the Division of Family Pracce has provided a great opportunity to improve medical care in care facilies.
ROSS BERRINGER, MD
Ross Berringer graduated from the University of Brish Columbia in 1980. He completed a residency in emergency
medicine in Jacksonville Florida in 1985. From 1985-2006 he worked full me as an emergency physician at St. Paul’s
Hospital in downtown Vancouver. In 2006 he joined the CMPA as a physician risk manager. He connues to work
clinically at the Oawa General Hospital.
JEFF BLACKMER, MD, MHSC, FRCPC
Dr. Jeﬀ Blackmer currently serves as the Execuve Director of the Oﬃce of Ethics, Professionalism and Internaonal
Aﬀairs at the Canadian Medical Associaon, a posion he has held since 2003. He has previously served as the interim
Director of Ethics for the World Medical Associaon in Geneva.
BARRY CLARKE
DAVID CONN, MB, BCh, BAO, FRCPC
Dr. David Conn is the Vice-President of Educaon and inaugural Director of the Centre for Educaon & Knowledge
Exchange at Baycrest. He is a Professor in the Department of Psychiatry, University of Toronto. He is founding Co-Chair
of the Canadian Coalion for Seniors' Mental Health and Chair of the Coalion’s Naonal Guidelines Project.
BARBARA FARRELL, BScPhm, PharmD, FCSHP
Dr. Barbara Farrell is a Scienst, Bruyère Research Instute, Assistant Professor, Department of Family Medicine,
University of Oawa and Adjunct Assistant Professor, School of Pharmacy, University of Waterloo. She is currently
funded to develop, implement and evaluate deprescribing guidelines for the elderly, and works clinically in the Bruyère
Geriatric Day Hospital.
SID FELDMAN, MD, CCFP, FCFP
Dr. Feldman is Medical Director of the Apotex Home for the Aged at Baycrest Health Sciences. He is an Associate
Professor in the DFCM at University of Toronto and has served as a member of the Ontario Coroner’s Geriatric and Long
-term Care Review Commiee since 2004.
SERGE GINGRAS, MD
General Praconer, Director of Professional Services Ste. Anne's Hospital (Veterans) Montreal Aending physician
Long Term Care CSSS Dorval-Lachine-LaSalle Board of Directors Member CSSS Dorval-Lachine-LaSalle Founding Board
Member LTCMDAC
DAPHNA GROSSMAN, MD, CCFP(EM), FCFP
Dr. Daphna Grossman is the deputy head of palliave care at Baycrest Health Sciences. She is an assistant professor in
the Department of Family and Community Medicine Division of Palliave Care at the University of Toronto.
GEORGE HECKMAN, MD, MSc, FRCPC
Dr. George A. Heckman is the Lead Geriatrician for the Waterloo Wellington LHIN and holds a Schlegel Research Chair
for Geriatric Medicine at the UW RIA. He is an Associate Professor at the University of Waterloo, Faculty of Applied
Health Sciences and Assistant Clinical Professor of Medicine with McMaster University.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 11
FACULTY
JOHN HIRDES, PhD
Dr. Hirdes is a Professor and Ontario Home Care Research and Knowledge Exchange Chair in the School of Public Health
and Health Systems, University of Waterloo. He is the senior Canadian Fellow and a Board Member of interRAI, an
internaonal consorum of researchers from over 35 countries.
SHERI-LYNN KANE, MD, FRCPC
Dr. Sheri-Lynn Kane is a Geriatrician at Western University. She completed her fellowships in both Internal Medicine
and Geriatric Medicine at McMaster University. Her interests include demena and frailty. Dr. Kane works in both the
outpaent, inpaent, and outreach sengs. She is Postgraduate Program Director for Internal Medicine at the Schulich
School of Medicine and Denstry.
PAUL KATZ, MD, FRCP
Dr. Paul Katz is currently Vice President of Medical Services and Chief of Staﬀ at the Baycrest Health Sciences Centre in
Toronto, Ontario and is Professor of Medicine at the University of Toronto. His research currently focuses on medical
staﬀ organizaon models and physician pracce paerns to long term care sengs.
GALIT KLEINER-FISHMAN, MD, FRCPC
Galit Kleiner-Fisman obtained her MD from McGill University, did her Neurology residency at Harvard in Boston
Massachuses and a fellowship at TWH in Movement Disorders. She is on faculty at the University of Toronto and is the
Medical Director at the Assisve Technology Clinic at Baycrest Hospital.
JANET MacEACHERN, MD, FRCPC
Dr. MacEachern is a graduate of the University of Toronto(1995) and completed her hematology training in 2000. She is
a hematologist at the Grand River Regional Cancer Centre, Kitchener, Ontario.
DEVIANI MAHER, MD, FRCPC
Dr. Maher has a long standing interest in long term care that began as a teen volunteer in residenal care. She is a
clinical geriatrician in Victoria and, as well, is involved in the Geriatric Medicine Outreach Clinic and LTC in Bella Bella,
BC. As a Clinical Associate Professor with UBC, she also parcipates in medical educaon and her main academic
interests are demena and bioethics.
ALLISON MCGEER, MD, MSc, FRCPC
Dr. McGeer trained in internal medicine and infecous diseases at the University of Toronto, then completed a
fellowship in hospital epidemiology at Yale New Haven Hospital in 1989/90 before returning to Mount Sinai Hospital.
Her research interests are in the prevenon of infecon in health care instuons and control of anmicrobial
resistance.
JANE MEADUS, BA, LL.B.
Jane Meadus is a lawyer with the Advocacy Centre for the Elderly, where she has been the Instuonal Advocate since
1995. She was called to the Ontario Bar in 1993. Her pracce is restricted to represenng instuonalized clients (longterm care homes, hospitals, psychiatric facilies and rerement homes) with respect to related legal issues.
SUSAN MITCHELL, MD, MPH
Geriatrician and health services researcher, Professor of Medicine at Harvard and Senior Scienst at Hebrew Senior Life
Instute for Aging Research in Boston. She graduated from the University of Oawa Medical School. Her research
focuses on decision-making, outcomes, and resource ulizaon in advanced demena.
ANDREA L. MOSER, MD, MSc, CCFP, FCFP, CMD
President, OLTCP. Board member, LTCMDAC. Family Physician with focus pracce in care of the elderly, Cerﬁed
Medical Director, Assistant Professor, Department of Family and Community Medicine, University of Toronto; Associate
Medical Director, Apotex, Baycrest Health Services; BSO Primary Care Advisor, Central LHIN.
BRIAN MURRAY, MD, FRCP(C) D,ABSM
Brian Murray is an associate professor at the University of Toronto in neurology. His major interests are in neurological
aspects of sleep medicine. He is currently the Director of Integrated Medical Educaon for the University of Toronto
Department of Medicine and Chair of the Sunnybrook Research Ethics Board.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 12
FACULTY
DAVID NEWMAN, MD, FRCPC, FACC
Dr. David Newman received his MD at Dalhousie University followed by training in internal medicine and cardiology at
the University of Toronto. He trained in cardiac electrophysiology at the University of California San Francisco followed
by basic research at Stanford University. He is now associated with the arrhythmia service at Sunnybrook medical
center where he teaches fellows, and does ablaon procedures. He has a large community based outpaent arrhythmia
focused pracce.
DOUG OLIVER, MSc, MD, CCFP
Dr. Oliver is an Associate Professor in the Department of Family Medicine at McMaster University, where he serves as
Care of the Elderly Curriculum Coordinator. He is the program director for a Long Term Care clinical rotaon in Family
Medicine. Dr. Oliver’s clinical commitment to this paent populaon connues with weekly nursing home rounds and
house calls to frail elderly paents.
KIRAN RABHERU, MD, CCFP, FRCP, DABPN
Professor of Psychiatry, University of Oawa. Medical Director, Geriatric Psychiatry and ECT Service. Geriatric
Psychiatrist, The Oawa Hospital Program.
RON RIESENBACH, BSc, MSc, MBA, P.Eng
Ron Risenbach is the VP Innovaon and CTO of Baycrest Health Sciences, one of the worlds leading centres for brain
science and care for the aged. He leads a diverse team developing novel soluons to support innovave clinical care,
research and educaon. Prior to Baycrest, he was the VP of Emerging Business with the Ontario Telemedicine Network.
DUNCAN ROBERTSON, FRCP (Lond. & Edin.) FRCPC, FACP
Duncan Robertson is Senior Medical Director of Alberta’s Seniors Health Strategic Clinical Network Praccing geriatric
medicine since 1976, he was formerly a Professor in Saskatchewan, Alberta, BC and Toronto where he was Director of
the RGP. He contributed to establishing specialized geriatric services in eleven cies in four provinces.
KEN SCHWARTZ, MD, FRCPC
Ken Schwartz, Assistant Professor of Psychiatry at the University of Toronto is a group therapist and Psychoanalyst who
works at Baycrest Psychiatric Day Hospital for Depressed Elderly and LTC homes. He has published and presented at
naonal and internaonal conferences on group therapy, depression, sexuality and the Aﬀect Educaonal Model.
ROGER SKINNER, BA, MD, CCFP(EM)
Dr. Roger Skinner is the Regional Supervising Coroner for Toronto West Region. He is the current chair of the Geriatric
and Long Term Care Review Commiee of the Oﬃce of the Chief Coroner.
MARTIN SMALBRUGGE, MD, PhD
Dr. Marn Smalbrugge is senior researcher at the department of general pracce & elderly care medicine, VU University
Medical Center (VUmc) Amsterdam and head of the vocaonal training programme for elderly care physicians of the
same department. He is currently involved in several research-projects with a focus on problem behavior in demena,
depression, apathy, psycholepc medicaon and pharmacotherapy, all carried out in the nursing home seng.
MARCIA SOKOLOWSKI, CPsych, PhD (Phil)
Dr. Marcia Sokolowski is Co-Director of Ethics at Baycrest Health Sciences and a member of the University of Toronto
Joint Centre for Bioethics. She is an Assistant Professor at the University of Toronto , Faculty of Medicine. She is also a
clinical psychologist, registered with the College of Psychologists of Ontario.
BRIAN STEEVES, MD
Brian Steeves is a family physician and Medical Director of a large nursing home in Nova Scoa. His areas of interest
include developing guidelines to opmize medicaon use for Elders, creang posive social environments in LTC, and
improving demena training for care partners. His group posts guidelines on the site polypharmacy.ca.
BALDWIN TOYE, MD, FRCPC
Dr. Baldwin Toye is a Medical Microbiologist and Infecous Diseases consultant at The Oawa Hospital, Associate
Professor at the University of Oawa, and also a consultant for several hospitals in the Champlain Local Health
Integraon Network. His clinical and academic interests include the diagnosis and management of anmicrobialresistant organisms.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 13
FACULTY
ANGELA UY, RN, MN, GNC(C)
Angela Uy received her Master of Nursing from the University of Toronto and is a Cerﬁed Gerontological Nurse
through the Canadian Nurses Associaon. Angela is Quality Partner to Baycrest’s Apotex Centre, Jewish Home for the
Aged. She is Project Lead for implementaon of the INTERACT® quality improvement program.
CHRISTINA VAN SICKLE, BSW, MSW, RSW
Chrisna is the Professional Pracce Chief of Social Work at Baycrest and Unit Director in the Apotex, Jewish home for
the Aged. Chrisna’s career has focused on the ﬁelds of mental health, addicons and geriatrics. Chrisna sits on the
provincial board of directors for the Ontario Associaon of Social Workers.
LAWRENCE WEISBROD, MD, FRCSC
Dr. Lawrence Weisbrod is a lecturer in the Department of Ophthalmology at the University of Toronto. He is on staﬀ at
Sunnybrook Health Sciences Centre where he trains Ophthalmology residents in medical and surgical
ophthalmology. He also pracces at the Toronto East General Hospital and Kensington Eye Instute where he has a
surgical interest in cataract and glaucoma surgery.
EVELYN WILLIAMS, MD, FCFP, MHSc, CMD, CHE
Dr. Williams is Head of the Division of Long Term Care, Sunnybrook Veterans Centre, and assistant professor at
the University of Toronto. For the CPSO she is network lead for LTC peer assessors. She and Dr. Andrea Moser have
developed and delivered the new OLTCP Medical Director Curriculum course.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 14
HOW TO REGISTER
EARLY BIRD REGISTRATION
Applies to the Members (OLTCP & LTCMDAC) only!
Register and pay by SEPTEMBER 15, 2014 and take advantage of the lowest fees and choice of your
sessions for OLTCP or LTCMDAC members to aend the Conference. See Registraon form for fee schedule.
GUEST POLICY
Guests are welcome to the conference and may aend the Wine and Cheese Recepon for a small fee. Guests are not
permied to aend any of the sessions, or aend any of the breakfasts, refreshment breaks or luncheons. Please see
the registraon form to order ckets for the recepon for guests.
HOW TO REGISTER
Register 3 ways—All fees are payable in Canadian Dollars only.
Online: www.oltcp.ca—Quick & easy and only by credit card
Mail: Complete the registraon form, make the cheque payable to the Ontario Long Term Physicians,
and mail to 1143 Wentworth Street West, Suite #202,
Oshawa, ON L1J 8P7.
Fax: 1-905-404-3727—Complete the registraon form and fax to the number provided. Sessions will not
be conﬁrmed unl payment is received and processed.
PAYMENT
Payment can be made by cheque or credit card (VISA,
MasterCard. AMEX). Please note: Credit card payments
will be processed by Events In Sync, Inc. Your statement
will show Events In Sync, Inc. as the vendor. Events In
Sync, Inc. is the managing company for the Ontario Long
Term Care Physicians.
CANCELLATION POLICY
Cancellaons received prior to OCTOBER 10, 2014, are
subject to a $60.00 administraon fee. Aer October 10,
2014, there will be no refunds however delegate
substuon can be made unl FRIDAY OCTOBER 24 with
no substuon fee. From SATURDAY OCTOBER 25, 2014
a $60.00 delegate substuon fee applies.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 15
ACCOMMODATIONS
Sheraton Centre Toronto
123 Queen Street West, Toronto, Ontario M5H 2M9
Telephone: 1-888-627-7175—Be sure to request the Ontario Long Term Care Physicians room block
Online: hps://www.starwoodmeeng.com/Book/OLJ30A
The Sheraton Centre Toronto is located near all of Toronto's aracons and connected to the ﬁnancial and
entertainment districts by way of the PATH, a 16-mile underground network of shops and services. Shopping, Mirvish
Toronto theatres, world-class dining at downtown Toronto restaurants, and Toronto museums are steps away. Enjoy
the largest indoor/outdoor heated Toronto Pool and stay cool with a drink and some snacks from the Splash Bar. Relax
with the kids and enjoy the weekend poolside!
A block of rooms is being held at the Sheraton Centre Toronto
unl Friday, October 10, 2014. The Ontario Long Term Care
Physicians and the Sheraton Centre Toronto cannot guarantee
availability at any me. The applicable rate for these standard
rooms is $199.00 per night plus taxes. All rooms are single or
double occupancy and the rate is applicable for 1 night before
the conference.
Cancellaon Clause: A deposit equal to one night’s stay is
required to hold each guest’s reservaon at the me of
reservaon. Full refund of this deposit will be given to
cancellaons received unl 72 hours prior to arrival. For
cancellaons received within 72 hours of arrival, the deposit is
non-refundable.
Check In: Check in me is 3:00pm. Check out me is 12 noon.
Parking: Self-Parking is available and is aached to the hotel, located under City Hall.
Monday – Friday
Day Maximum (7am - 6pm): $15.00
Night Maximum (6pm - 7am): $6.00
Saturday
Day Maximum (7am - 6pm): $6.00
Night Maximum (6pm - 7am): $6.00
Sunday & Holidays
Maximum (7am - 7am):
$6.00
Or paral parking mes are $2.50 / Half Hour
Valet Parking is also available at $50.00 per day including in/out privileges.
Various street parking is also available around the hotel. The largest public parking lot closest to the hotel is aached to
the Eaton Centre, 2 blocks from the hotel.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 16
GENERAL INFORMATION
DEADLINE DATES:
Member Early Bird Rate Ends
Monday September 15, 2014
Regular Rates Apply
Up to Friday October 24, 2014
Hotel Cut Oﬀ Date for Room Reservaons
Friday October 10, 2014
Cancellaons Accepted, with a $60.00 Fee
To Friday October 10, 2014
Delegate Substuon Policy Applies, no Fee
Up to Friday October 24, 2014
Delegate Substuon Policy Applies, $60.00 Fee
From Saturday October 25, 2014
Late & Onsite Rates Apply
From Saturday October 25, 2014
REGISTRATION AT THE CONFERENCE
The OLTCP registraon desk will be located on the Second Floor. Please register at the OLTCP registraon desk to pick
up your badge and conference material.
BADGES
Once registered, please ensure you wear your badge for entrance to all sessions, meals and recepon. Your badge must
be visible and worn throughout the event in order to have access to the program.
PRESENTATIONS AVAILABLE TWO WAYS
All aendees will be provided with a USB sck upon registraon at the Conference. On the USB you will be provided
with all of the presentaons from speakers that have provided their authorizaon to reproduce their presentaon.
Aer the conference, all authorized presentaons will be also be posted on the website and will be password protected
for all of the conference aendees only. There is no opon to purchase handout binders for the 2014 conference.
CONCURRENT WORKSHOP CHOICES
When selecng your workshop choice, and it appears that your choice is not available, that indicates the choice you are
making is full and not available. Please move to another choice listed, which is sll available. The online system
automacally removes the workshop from the selecons once full. If registering by fax or email, the oﬃce will nofy
you directly by email if you have selected a Workshop that is full and you will be given the opon of others that are sll
open.
Please note: The Workshops are repeated twice to maximize your opons of choosing topics.
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 17
REGISTRATION
THANK YOU FOR REGISTERING FOR THE 2014 CONFERENCE. PLEASE COMPLETE BOTH PAGES OF THE REGISTRATION FORM IN FULL AND READ AND ACCEPT
THE CANCELLATION CLAUSE. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE OFFICE AT [email protected] OR 905-404-9545.
1. CANCELLATION POLICY: Cancellaons received prior to OCTOBER 10, 2014, are subject to a $60.00 administraon fee. Aer October 10, 2014, there will
be no refunds however delegate substuon can be made unl FRIDAY OCTOBER 24 with no substuon fee. From SATURDAY OCTOBER 25, 2014 a $60.00
delegate substuon fee applies.
I HAVE READ AND ACCEPTED THE CANCELLATION CLAUSE:
2. REGISTRATION THREE WAYS:
Online: www.oltcp.ca—Quick & easy and only by credit card
Mail: 1143 Wentworth Street W. Suite 202, Oshawa, ON L1J 8P7
Fax: 1-905-404-3727—Complete the registraon form and fax to number provided. Sessions will not be conﬁrmed unl payment is received and
processed.
3. MEMBERSHIP:
If you are a current OLTCP or LTCMDAC member, please choose the member rates on page 20. If you are not a member, please choose the non-member
rates. If you want to join now and take advantage of the member rates, check the appropriate box under this secon or go to www.oltcp.ca and join.
I am a current
OLTCP member
LTCMDAC member
I am not a member and will choose the non-member rates
I will be joining now
4. DELEGATE REGISTRATION INFORMATION: One form per person. Photocopies are accepted.
Status: choose one:
Please circle one:
Medical Director
Dr.
Mr.
Physician
Mrs.
Pharmacist
Nurse Praconer
Medical Resident
Other________________
Ms.
First Name: ______________________________________________________Last Name: ______________________________________________________
Long Term Care Facility Name: _______________________________________________________________________________________________________
Address:
Home
Oﬃce
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
City: ___________________________________________________Province: _____________________ Postal Code:_________________________________
Email: (please print clearly)__________________________________________________________________________________________________________
Tel:_____________________________________________________________Fax:_____________________________________________________________
DIETARY, ALLERGIES OR OTHER SPECIAL CONSIDERATIONS: If requesng Kosher or other special meals which must be brought in from outside the facility,
there will be a 'upcharge' to cover addional cost including the cost of delivery.
List here: ________________________________________________________________________________________________________________________
5. CONCURRENT WORKSHOPS
Concurrent workshops must be chosen with registraon. If you do not choose your sessions, there is no guarantee that your choice will be available onsite
due to room capacies.
Please choose one per me slot: - Circle your choice
SATURDAY NOVEMBER 8
SUNDAY NOVEMBER 9
1:15 PM:
3:00 PM:
101A
101B
102A
102B
103A
103B
104A
104B
105A
105B
106A
106B
107A
107B
108A
108B
109A
109A
110A
110B
8:45 AM:
10:30 AM:
201A
201B
202A
202B
203A
203B
204A
204B
205A
205B
206A
206B
207A
207B
208A
208B
209A
209B
210A
210B
6. WINE AND CHEESE RECEPTION—GUEST PURCHASE TICKETS ONLY—REGISTRANTS FEE INCLUDES THIS EVENT
Friday November 7, 2014—5:30 pm—7:00 pm. Guests must purchase a cket to aend this event. Choose the appropriate box on the registraon form for
payment.
Yes, I will be purchasing a guest cket(s) for this event:
$25.00 before October 24; $35.00 from October 25. See form to purchase.
Guest First Name: __________________________________________ Guest Last Name:________________________________________________________
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 18
REGISTRATION—Page 2
REGISTRATION FORM CONTINUED
7. PLEASE PROVIDE YOUR NAME ON THIS PAGE TO ENSURE YOUR REGISTRATION FORM REMAINS TOGETHER:
First Name __________________________________________
Last Name: ___________________________________________
8. CHOOSING REGISTRATION FEES: CIRCLE YOUR CHOICES AND TOTAL
Registraon fees are categorized by member fees, non-member fees and resident fees. Members (OLTCP & LTCMDAC) fees include all categories of
membership—Regular, Pharmacists and Nurse Praconers. Early Bird Fee Applicable to Members Only: Choose early bird fees if registering before and
including September 15. Regular Fee Member: Choose regular fees if registering between September 16 and October 24, inclusive. Non-members or
Medical Residents: Choose regular fees to October 24. Late & Onsite Fees: Choose late & onsite fees if registering from October 25, or any date aer and
throughout the Conference. If you are not a member, and want to join now for member fees, please choose this opon under #9—Fee Totals.
EARLY BIRD FEE
TO SEPTEMBER 15
REGULAR FEE
SEPTEMBER 16—OCTOBER 24
LATE & ONSITE FEE
FROM OCTOBER 25
THREE DAY CONFERENCE PACKAGE—NOV 7– NOV 9
785.00
835.00
935.00
LTCMDAC DAY ONLY—NOVEMBER 7
295.00
345.00
445.00
OLTCP ANY ONE DAY—NOV 8; NOV 9 (Circle one day)
280.00
320.00
420.00
ANY TWO DAYS— NOV 7; NOV 8, NOV 9 (Circle two days)
515.00
565.00
665.00
REGULAR FEE
TO OCTOBER 24
LATE & ONSITE FEE
FROM OCTOBER 25
MEMBER FEES
REGULAR, NP, PHARMACISTS
NON-MEMBER FEES
THREE DAY CONFERENCE PACKAGE—NOV 7– NOV 9
NA
930.00
1,035.00
LTCMDAC DAY ONLY—NOVEMBER 7
NA
440.00
545.00
OLTCP ANY ONE DAY—NOV 8; NOV 9 (Circle one day)
NA
415.00
520.00
ANY TWO DAYS— NOV 7; NOV 8, NOV 9 (Circle two days)
NA
660.00
765.00
REGULAR FEE
TO OCTOBER 24
LATE & ONSITE FEE
FROM OCTOBER 25
MEDICAL RESIDENTS FEES
Proof of Residency is Required
THREE DAY CONFERENCE PACKAGE—NOV 7– NOV 9
NA
560.00
655.00
LTCMDAC DAY ONLY—NOVEMBER 7
NA
210.00
310.00
OLTCP ANY ONE DAY—NOV 8; NOV 9 (Circle one day)
NA
195.00
300.00
ANY TWO DAYS— NOV 7; NOV 8, NOV 9 (Circle two days)
NA
365.00
465.00
9. FEE TOTALS
Registraon fees as selected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________
Guest Recepon Ticket, before October 24_______# ckets x $25.00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________
Guest Recepon Ticket, from October 25 _______# ckets x $35.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________
OLTCP Membership Fee, Regular, $250.00 - Join Now—New Members Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________
OLTCP Membership Fee, Associate (NP, PHARM, PA), $200.00 - Join Now—New Members Only . . . . . . . . . . . . $ _____________________
TOTAL FEES: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________
10. PAYMENT
A. By credit card: FAX TO 1-905-404-3727: VISA _____ MASTERCARD _____ AMEX ____
Credit card payments will be processed by Events In Sync, Inc. and your statement will show Events In Sync as the vendor. Events In Sync, Inc. is the managing company for the
OLTCP.
NAME ON CARD: ______________________________________________________________________________________________________________________________
NUMBER: ______________________________________________________________________________________EXPIRY _________ _________ CVN ________________
SIGNATURE: ___________________________________________________________________________________________________________________________________
B. By Mail: With cheque payable to: Ontario Long Term Care Physicians, 1143 Wentworth Street West, Suite 202, Oshawa, ON L1J 8P7
11. QUESTIONS?
OLTCP Oﬃce: T: 905-404-9545; [email protected]
OLTCP & LTCMDAC ANNUAL MEETING—NOVEMBER 7-9, 2014—PAGE 19