November 11, 2017

Association des Chirurgiens GÉnÉraux de l’Ontario Ontario Association of General Surgeons

OAGS20

Serving Members For Over

YEARS

Tourism Toronto

In Flanders fields the poppies blow Between the crosses, row on row, That mark our place; and in the sky The larks, still bravely singing, fly Scarce heard amid the guns below. We are the Dead. Short days ago We lived, felt dawn, saw sunset glow, Loved and were loved, and now we lie In Flanders fields. Take up our quarrel with the foe; To you, from failing hands, we throw The torch; be yours to hold it high! If ye break faith with us who die, We shall not sleep, though poppies grow In Flanders fields. By Lt.-Col. John McCrae, MD Guelph Surgeon (1872-1918)

Lest We Forget

Ontario Association of General Surgeons

(OMA Section on General Surgery)

23rd OAGS Annual MeetingSaturday, November 11, 2017

Hilton Toronto Hotel 145 Richmond St. W., Toronto, ON

Meeting: Toronto Ballroom I & II (lower level)Exhibits & Buffet: Toronto Foyer

Breakfast/Lunch Seating: Toronto Ballroom III / TomThomsonSocial Hour / Reception: Toronto Ballroom III

Banquet Dinner: Toronto Ballroom III (RSVP Only)

Hotel Group Rate Deadline: Oct.20RSVP/Registration Deadline: Nov. 3Target Audience:Active & Inactive General SurgeonsGeneral Surgery Fellows/ Residents, Med Students (limited)

CME Accreditation:This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Phy-sicians and Surgeons of Canada and approved by the Canadian Associa-tion of General Surgeons. (1 credit/ 1 hr attended - 7 hrs max)

Register/RSVP: www.oags.org/agm.html

For More Details:Mail: P.O. Box 192, Stn. Main, Peterborough, ON K9J 6Y8

Web: www.oags.org Email: info@oags.org

Twitter: @OAGS1 Toll Free: 1-877-717-7765

Phone: 705-745-5621

~ FINAL PROGRAM ~

FeaturingInternational Guest Speaker

Dr. Joseph DuBose, MD,Lt-Col

Trauma & Critical Care SurgeonDavid Grant Medical Center,

Travis Air Force Base, Fairfield, CAUniversity of California - Davis Health

Topics:Monitoring in the ICU - Current State of the Art; Small Bowel Obstruction Management;

Colonic Endoscopic Screening/Surveillance for Above-Average-Risk Patient ;

The Frail, Older Surgical Patient; Antimicrobial Stewardship;

Hernia Debate - Shouldice vs. Mesh Repair; Breast Surgery Debate - SEED vs. Wire Localization;

How I Do It: Pilonidal, Toe Nails, Hidradenitis Suppurativa, Thermal Burns; FIT: What is it and

what does it mean to General Surgery;OMA President Political Talk; Billing Corner

3:15 pm “Colonic Endoscopic Screening & Surveillance in the Above- Average-Risk Patient” Speaker: Dr. Catherine Dubé (approx.20 min + 5min Q&A) Learning Objective: The participant will learn the appropriate definitions of “family history” as it pertains to increased risk of developing CRC and its ramifi- cations on timing of initial screening, as well as learn the appropriate timing of surveillance colonoscopy post-polypectomy and resection for CRC.

3:40 pm “FIT: What is it and what does it mean to General Surgery?” Speaker: Dr. Catherine Dubé (approx.20min+ 5min Q&A) Learning Objective: The participant will learn about CCO’s upcoming FIT testing for CRC screening and its impact to endoscopists. They will also learn what role they can play in the implementation and management of this program.

4:05 pm Annual OAGS International Lecture #2: “Small Bowel Obstruction Management in 2017”

Speaker: Dr. Joseph DuBose (approx.25min + 5min Q&A) Learning Objective: The participant will gain insight into newer management algorithms for dealing with acute small bowel obstruction.

4:35 pm “OMA Political Talk: Negotiations, Relativity, Incorporation, and Public Disclosure of Physician Income”

Speaker: Dr. Shawn Whatley (approx.20 min + 5min Q&A) Learning Objective: The participant will gain an understanding of the major political issues facing physicians as a “workforce” of health care providers in the province.

5:00pm t Interactive Billing Corner Round-Up - Dr. K.Lefebvre (Chair) t 2nd Prize Draw: TBA

Business Session: Dr. Harshad Telang, OAGS VP /Section Sec.Note: This session is open to both OAGS and Section members. No charge.Learning Objective: At the end of this lecture, the learner will be able to appreciate the principles discussed concerning contract negotiations, relativity, etc. I. INTRODUCTION II. OAGS HOUSEKEEPING

a) Approval of Agenda/ Previous Annual Business Mtg. Minutes b) OAGS Election c) OAGS Treasury Report

III. RESIDENT UPDATE IV. OMA SECTION CHAIR’S REPORT & TARIFF MATTERS

a) Contract Negotiations Update/Reviewb) Open Discussion

V. OAGS PRESIDENT’S REPORT VI. OTHER BUSINESS

a) Annual Meeting 2018

t Final Prize Draw: TBA

Courtesy of Vineland Estates Winery and Silversmith Brewing Co.

Wine Pairing: Vineland Estates Winery - Scott Vader

Speaker: Dr. Joseph DuBose - “Shared Progress: Military and civilian collaboration in advancing trauma care”Learning Objective: Participants will review lessons learned through the years since the World Wars and how they can be integrated at a more accessible level by everyone through a current community healthcare outreach program, the impetus of which was born after examining care following mass shooting events and the Boston Marathon bombing.

OAGS 23rd Annual Meeting Program: Saturday, November 11, 2017

Morning Session: Dr. Alice Wei, OAGS President9:00 am Introduction & Welcome

9:10 am Annual OAGS International Lecture #1: “Monitoring the ICU - The Current State of the Art” Speaker: Dr. Joseph DuBose (approx.25min + 5min Q&A) Learning Objective: The participant will learn about fluid status monitoring and new tips on TBI patients.

9:40 am “Debate: Hernia - Shouldice vs. Mesh Repair” (presentation -10 min each, rebuttal-10min, 10min Q&A) #1: “Shouldice Technique” Speaker: Dr. Claude Burul, Shouldice Clinic #2: “Mesh Repair” Speaker: Dr. Fred Brenneman, Sunnybrook Hospital Formal Resolution: Be it resolved that Shouldice repair is superior for inguinal hernias. Learning Objective: The participant will gain an understanding of 2 principal hernia repair techniques and the differences, pros and cons thereof.

10:50 pm t Interactive Billing Corner Interstitial - Dr. Lefebvre (10min)

11:02 am “Antimicrobial Stewardship” Speaker: Dr. Neil Rau (approx.20min + 5min Q&A) Learning Objective: The participant will learn about: a) Procalcitonin: a potential role in the mgmt. of sepsis, including intraabdominal sepsis, b) Antibiotics for the mgmt. of acute intraabdominal sepsis: how long a duration is needed, c) Nosocomial S. aureus bacteremia: treat it with respect.

11:27 am “The Frail, Older Surgical Patient” Speaker: Dr. Camilla Wong (approx. 20 min + 5min Q&A) Learning Objective: Participants will learn evidence-based strategies to man age the frail, older surgical patient to improve patient-centred outcomes.

11:52 am t OMA Section Service Award Presentation t Other Awards t 1st Prize Draw: TBA

Afternoon Session: Dr. Kevin Lefebvre, AGM Committee Chair1:00 pm t Interactive Billing Corner Interstitial - Dr. Lefebvre (5min)

1:05 pm “4 Pearls Panel: How I Do It” (approx.8 min each + 10min discussion + 10min Q&A) Pearl #1: “Pilonidal” Speaker: Dr. Chris Vinden Pearl #2: “Toe Nails” Speaker: Dr. Henry Chapeskie Pearl #3: “Hidradenitis Suppurativa” Speaker: Dr. Ralph George Pearl #4: “Thermal Burns” Speaker: Dr. Shahriar Shahrokhi Learning Objective: The participant will learn approaches to common surgical problems that can be applied to their patients - operative strate- gies, dermatology co-management, perioperative preparation/care.

2:00 pm “Debate: Breast Surgery - Seed vs. Wire Localization” Speakers: Dr. Nancy Down & Dr. Jay Engel (~10 min each + 10min rebuttal + 10min Q&A) Formal Resolution: Be it resolved that Seed localization should replace needle localization for breast conserving surgery. Learning Objective: Participants will learn the differences, pros and cons of surgical approaches to the non-palpable breast lesion.

2:40 pm t Interactive Billing Corner Interstitial - Dr. Lefebvre (5min)

7:30 am REGISTRATION & BREAKFAST

10:20 am MORNING BREAK

12:00 pm LUNCH BREAK

2:45 pm AFTERNOON BREAK

5:10 pm BUSINESS MEETING

6:00 pm Social Hour - Wine & Brew Reception

7:00 pm Evening Banquet - rsvp only

8:30 pm Banquet Presentation & Wine Draw

11:00 am Remembrance Day Moment of Silence

Dr. Fred Brenneman, MD, FRCSC, FACSProgram Director, General Surgery Residency Training Program, UofT

Assoc. Professor, Dept. of Surgery, UofT Trauma & Acute Care Surgery,

Abdominal Wall ReconstructionSunnybrook HSC, Toronto, ON

Dr. Claude Burul, MD, FRCSCChief of Surgery

Shouldice Hospital, Thornhill, ON

Dr. Henry Chapeskie, MD, Adjunct Professor, Dept. of Family Med.

Western University, London, ONThorndale Lions Medical Ctr., ON

Dr. Nancy Down, MD, FRCSC, FACSHead, Div. General Surgery

Med.Dir., Breast Integrated Care Collaborative, NYGH, Toronto, ON

Dr. Catherine Dubé MD, MSc, FRCPC Clinical Lead, ColonCancerCheck,

Assoc. Prof., Div. of GastroenterologyUniversity of Ottawa, ON

Dr. Joseph DuBose, MD, FACS, FCCM,RPVILt. Col. USAF MC

David Grant Medical Center, Travis AFB,Fairfield, California

Assoc. Prof. Surgery - Trauma, ACS, SCCUniversity of California, Davis, CA, USA

Dr. C. Jay Engel, MD, FRCSC, FRCSIAssoc. Professor, Dept. of Surgery

Chair, Surg. Oncology, Queen’s UniversityKingston General Hospital, Kingston, ON

Dr. Ralph George, MD, FRCSCAssoc. Prof., General Surgery, UofTCo-Chair, Hidradenitis Suppurativa

Advisory Board of CanadaMed. Dir., CIBC Breast Centre,

St. Michael’s Hosp., Toronto, ON

Dr. Kevin Lefebvre, MD, FRCSCStratford General Hospital

Div. of General Surgery, Stratford, ON

Dr. Neil Rau, MD FRCPCInfectious Diseases Consultant/

Medical MicrobiologistHalton Healthcare Services Corp,

MOHLTC Committee to Evaluate Drugs, Infectious Diseases Expert, CTV

Hamilton, ON

Dr. Shahriar Shahrokhi, MD, FRCSC, FACSAssist. Professor, Dept. of Surgery, UofT

Attending Surgeon, Ross Tilley Burn Ctre. Sunnybrook HSC, Toronto, ON

Dr. Chris Vinden, MD, FRCSCAssoc. Professor, Dept. of Surgery

Co-director of ICES in LondonVictoria Hospital, LHSC, London, ON

Dr. Shawn Whatley, MDOMA President

Dr. Camilla Wong, MD, FRCPC, MHScProject Investigator, Keenan Research Ctr.

Li Ka Shing Knowledge InstituteAssist. Professor, Dept.of Geriatrics, UofT

Staff Geriatrician, St. Michael’s Hosp.,Toronto, ON

It is a dynamic time for General Surgeons in Ontario. As surgeons, we are under constant pressure to adapt in response to advances in clinical care, technology and changing political realities. A vital mission of OAGS is to promote excellence in clinical care. Our Annual Meeting provides practical advice for common clinical and administrative issues facing practicing General Surgeons. We strive to make this meeting rele-vant and targeted to this group. Our CME-accred-ited meeting has grown to be a leading education-al forum. This year’s event will be an opportunity to learn something new, see old friends and meet

new colleagues. True to our roots, we will also keep you informed about how government initiatives impact on our membership. The political situation re-mains tense, with failed attempts to reach a fair agreement with the Ministry of Health and Long-Term Care. We continue to represent our members in our political capacity and will be reporting on initiatives undertaken. I look forward to seeing you on November 11th for our 23rd OAGS Annual Meeting.

OAGS Program and Education Committee (AGM)Dr. Kevin Lefebvre (Committee Chair)

Drs. T. Jackson, J. Kolbasnik, A. Maciver, J. Macmillan, H. Moloo, C. Vinden, A. Wei

(Consulting: Drs. N.Ahmed, A.Maciver, and OAGS Board-at-Large)

President’s MessageHilton Toronto Hotel

145 Richmond St. West, Toronto, ON

HILTON TORONTO HOTEL: We have a group block held under “OAGS17” at the Hilton Toronto Hotel (downtown), 145 Richmond St. W., Toronto. NOTE: Due to the low downtown negotiated rate, there will be no hotel rebate this year. To Make Hotel Reservations: Cut-Off Date is Oct. 20thWe have an amazing group rate of $169/standard room. The block is limited and will be released on Oct.20 pending availability, so book soon!Phone: 1-800-HILTONS Website: https://goo.gl/bDGD8E Parking: Underground parking is available on site as well as alternative munici-pal parking. Please be aware of on site height restrictions (6’4”). (Note: We will NOT be validating parking this year.) More details: www.oags.org/agm.html

t FREE - Current OAGS Membert$450 - Non-OAGS Member General Surgeon (active/inactive/out-of-prov.)t$ 50 - Non-OAGS Member - General Surgery Resident/Fellowt FREE - Medical Student (2/program- must be referred by an OAGS member)NOTE: You MUST register/RSVP for the annual meeting with OAGS before the deadline of Nov.3. Membership dues payment does not automatically RSVP you for the annual meeting. Admission fee is for the academic day meeting ONLY and does not include the evening banquet. Refunds will not be issued for cancellations after the deadline. Payments made on the day of the meeting will be charged an additional $25 service fee, so please pay in advance. More Details: www.oags.org .t $75/person - Banquet Fee (members and non-members) RSVP ONLY (Note: Please notify us if you have to cancel your RSVP, so we can advise catering.)

RSVP Deadline: Nov.3 - If you plan to attend the academic program during the day and/or the evening reception/banquet, you MUST RSVP to the OAGS office well before the deadline. Space is limited. If you have not received a confirmation from the OAGS office before the deadline, you should contact the office. NOTE: Renewing your annual dues does not automatically register you for the meeting. Notify us if you have to cancel, so we can advise catering.

²²² How to RSVP to the OAGS Office:t Phone: 1-877-717-7765 / 705-745-5621t Fax: 705-745-0478t Email: info@oags.orgt Online: http://www.oags.org/agm.html

²² How to Pay: (1 of 2 methods)t Cheque - Make payable to “OAGS” and mail to: OAGS - P.O. Box 192, Stn. Main, Peterborough, Ontario K9J 6Y8or...t PayPal - Major credit cards accepted online or phoneCall 1-877-717-7765 or visit our website: www.oags.org/membership.html. Read the instructions carefully.NOTE: PayPal is a secure method for your credit card information. You DO NOT need to create a PayPal account and can make a one-time payment only. We reserve the right to refund payment if you do not fulfill the professional requirements. Email confirmation will be sent to you. Tax deductible receipts will also be mailed out for all methods.

Meeting Committee

Venue

Guest Speakers

Registration/RSVP

Accommodation

Admission Fees

Dr. Alice Wei

Gardiner ExpresswayBilly Bishop

Airport

Front St. W.

TorontoPearsonAirport

N

Uni

vers

ity A

ve.

CN TowerAquariumRogers Ctr Yo

nge

St.

Bay

St.

York

St.

Union Station

John

S

t.

ACC

Queen St. W.

Richmond St. W.

King St. W.

Adelaide St. W.

Eaton Centre

Four Seasons Ctr

Green PParkingP

Without the support of our sponsors, this event would not be possible. Thank you.

Other CPD Supporters

MEDICAL

PLATINUM

GOLD

SILVER

Front page reproduced photo credit: Corporal Carbe Orellana Canadian Forces Support Unit (Ottawa) – Imaging Services © 2015 DND-MDN, Canada SU15-2015-0625-003

Physician RecruitersHopital Notre-Dame Hospital

Kapuskasing & District Recruitment & Retention Ctr.

Other ExhibitorsCanadian Association of General Surgeons

Login CanadaQuality Management PartnershipUofT Update in General Surgery