2nd Canadian Musculoskeletal Conference

Presented by Osteoporosis Canada in partnership with Bone and Joint Canada

National Conference on Osteoporosis & Osteoarthritis | May 3 – 5, 2018 | Toronto, ON

This premier conference  is an outstanding 3-day forum for clinicians, researchers and trainees with an interest in musculoskeletal health,
with a  particular focus on osteoporosis and osteoarthritis.

Participants will hear from internationally and nationally recognized speakers.
The venue is set up to promote mentorship, education and networking.

This continuing education will be held under the auspices of Continuing Professional Development, Faculty of Medicine, University of Toronto.

Accreditation:

College of Family Physicians of Canada – Mainpro+:

This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by Continuing Professional Development, Faculty of Medicine, University of Toronto for up to 11 Mainpro+ credits.

Royal College of Physicians and Surgeons of Canada – Section 1:

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by Continuing Professional Development, Faculty of Medicine, University of Toronto. You may claim a maximum of 11 hours (credits are automatically calculated).

LOCATION

AGENDA

The conference schedule can be viewed by clicking the link below.

Thursday May 3, 2018

Friday May 4, 2018

7:30 AM

Registration and Continental Breakfast

8:30 AM

Introduction and Welcome

  • Dr. Suzanne Morin, Chair of the CMC 2018
  • Dr. Famida Jiwa, President and CEO of Osteoporosis Canada
  • Rhona MCGlasson, Executive Director of Bone and Joint Canada

SESSION 1

Chair: Dr. Lauren Beaupre

8:45 AM

Exercise and Musculoskeletal Health – Dr. Karim Khan

CIHR Institute of Musculoskeletal Health and Arthritis (IMHA)

Objectives:

  1. Explain that anterior cruciate ligament (ACL) injury in the sportsperson does not necessarily require reconstruction
  2. Describe how ‘biologics’ are not proving to be a panacea for musculoskeletal conditions
  3. Summarize the mechanisms that underpin the beneficial effect of loading on painful conditions

Active Learning: Q&A (~8 mins)

9:15 AM

Nutrition: Protein Intake and Musculoskeletal – Dr. Wendy Ward

Faculty of Applied Health Sciences, Brock University

Objectives:

  1. List the current recommendations for dietary protein intakes for Canadians
  2. Examine the levels of dietary protein that have been shown to benefit musculoskeletal health, particularly during aging
  3. Describe the potential role of dietary protein for supporting recovery after fracture

Active Learning: Q&A (~8 mins)

9:45 AM

The ABC’s and Many Colored Flags of Chronic Pain – Dr. Andrea Furlan and Dr. John Flannery

University Health Network, Toronto Rehab

Objectives:

  1. Remember three (3) physical examination tests to help assess patients with chronic pain
  2. Remember three (3) validated tools to use with chronic pain patients
  3. List three (3) each evidence-based pharmacological + non-pharmacological options for management of chronic pain
  4. Identify the “flag system” (from red to black) in chronic pain

Active Learning: Q&A (~12 mins)

10:30 AM

– BREAK –

SESSION 2

Chair: Dr. Alexandra Papaioannou

11:00 AM

Assessment of Fracture Risk – a Review – Dr. William Leslie

University of Manitoba

Objectives:

  1. Discuss the importance of fracture risk assessment tools: CAROC, FRAX and Garvan
  2. Explain how CAROC and FRAX are used in clinical decision making
  3. Illustrate clinical decision making in challenging case scenarios

Active Learning: Case discussions and Q&A

11:30 AM

Recovery from Hip Fracture: Evidence from the Baltimore Hip Studies – Dr. Jay Magaziner

University of Maryland School of Medicine

Objectives:

  1. Explain the many functional and musculoskeletal consequences of hip fracture
  2. Describe the natural course of recovery from hip fracture
  3. Apply strategies for improving recovery from hip fracture

Active Learning: Q&A (~12 mins)

12:15 PM

Oral Presentation selected from the Trainee Day – Winner of Trainee Abstract Submission

Active Learning: Q&A (~4 mins)

12:30 PM

– NETWORKING LUNCH –

SESSION 3

ROOM A

Osteoporosis and Metabolic Bone Disease

Chair: Dr. Heather Frame

ROOM B

Osteoarthritis and Joints

Chair: Dr. Maureen Ashe

1:30 PM

Osteoporosis Treatment and Duration of Therapy – Dr. Angela Cheung

University Health Network, University of Toronto

Objectives:

  1. To discuss when and in whom to consider a drug holiday
  2. To examine current evidence on atypical femur fractures and osteonecrosis of the jaw
  3. To describe recent controversy on the discontinuation of denosumab therapy

Active Learning: Q&A (~8 mins)

1:30 PM

The Core Back Tool: Turning Evidence into Practice – Dr. Julia Alleyne

Toronto Rehab, MSK, University of Toronto

Objectives:

  1. To identify the key components of an evidence-based clinical approach to low back pain
  2. To describe key management strategies for effective treatment of low back pain
  3. To list the appropriate indicators for imaging and referral of Low Back Pain patients.

Active Learning: Q&A (~8 mins)

2:00 PM

Diabetes and Bone – Dr. Robert Josse

St Michael’s Hospital, University of Toronto

Objectives:

  1. Describe the bone biology in diabetes
  2. Interpret Bone Mineral Density (BMD) and Trabecular Bone Score (TBS) assessment in patients with diabetes
  3. Choose therapeutic options in patients with diabetes and osteoporosis

Active Learning: Q&A (~8 mins)

2:00 PM

Osteoarthritis: A serious disease? – Dr. Gillian Hawker

Sir John and Lady Eaton Professor and Chair of the Department of Medicine, University of Toronto

Objectives:

  1. Describe the impact of osteoarthritis on disability, loss of independence and quality of life
  2. Describe the impact of osteoarthritis on other chronic conditions
  3. Appreciate the association between osteoarthritis and increased mortality

Active Learning: Q&A (~8 mins)

2:30 PM

Bone Health After Bariatric Surgery – Dr. Claudia Gagnon

CHU de Québec, CHU de Québec Research Centre, Université Laval

Objectives

  1. Describe the impact of bariatric surgery on bone turnover markers, bone mineral density and fracture risk
  2. Identify possible factors associated with bone loss and fracture risk after bariatric surgery
  3. Improve the management of bone health around bariatric surgery

Active Learning: Q&A (~8 mins)

2:30 PM

Appropriate Use of Injectables in the Management of Osteoarthritis – Dr. Robert Petrella

Western University

Objectives:

  1. Describe the role of injectables in intra-articular treatment of osteoarthritis
  2. Define the current consensus of evidence for intra-articular treatment of osteoarthritis
  3. Discuss the future roles of intra-articular treatments in osteoarthritis

Active Learning: Q&A (~8 mins)

3:00 PM

– BREAK –

SESSION 4

ROOM A

OSTEOPOROSIS AND METABOLIC BONE DISEASE

Chair: Dr. Sandra Kim

ROOM B

OSTEOARTHRITIS AND JOINTS

Chair: Dr. Julia Alleyne

3:30 PM

Paget’s Disease – Dr. Laetitia Michou

CHU de Québec, Université Laval

Objectives:

  1. Describe the main clinical symptoms of Paget’s disease
  2. Identify the main complications of the disease
  3. Apply therapeutic options and follow-up management of Paget’s disease

Active Learning: Q&A (~8 mins)

4:30 PM

Osteogenesis Imperfecta in Adults – Dr. Frank Rauch

Objectives:

  1. To recognize the clinical types of osteogenesis imperfecta
  2. Explain the genetics of osteogenesis imperfecta
  3. Describe the medical treatment of osteogenesis imperfecta

Active Learning: Q&A (~8 mins)

4:00 PM

The Spectrum of Hypophosphatasia: From Children to Adults – Dr. Cheryl Greenburg

Objectives:

  1. Summarize the clinical spectrum and genetic basis of hypophosphatasia (HPP)
  2. List 2 key biochemical tests characteristic of this disorder
  3. Define Enzyme Replacement Therapy (ERT) and the status of ERT for HPP in Canada

Active Learning: Q&A (~8 mins)

MINI SYMPOSIUM on Osteoarthritis – Appropriate care across the disease continuum

3:30 PM

INTRODUCTIONS

3:40 PM

Long Term Sequelae of Anterior Cruciate Ligament (ACL) Injuries in Young Athletes – Dr. E. Laura Cruz

Objectives:

  1. Describe the incidence of ACL rupture in youth and youth adult sport
  2. Explain ACL injury prevention strategies and their effectiveness
  3. Describe the long term outcomes of ACL injuries

Active Learning: Q&A (~6 mins)

3:55 PM

Evidence-based education and supervised neuromuscular exercise for hip and knee osteoarthritis: GLADTM Canada Implementation – Dr. Aileen Davis

Objectives:

  1. Explain how education and targeted neuromuscular exercise improves symptoms and function in people with hip and knee osteoarthritis
  2. Describe the outcomes of the program to date
  3. Define how and where the program is being implemented

Active Learning: Q&A (~6 mins)

4:10 PM

Physical activity and sedentary time in osteoarthritis – from evidence to practice – Dr. Lora Giangregorio

Objectives:

  1. Describe the recent evidence related to effect of physical activity and sedentary time on outcomes in osteoarthritis
  2. Explain how to address patient barriers and apply that evidence in your practice.

Active Learning: Q&A (~6 mins)

4:25 PM

Supporting improved non-surgical osteoarthritis care through Health Quality Ontario (HQO) Quality Standards – Dr. Carol Kennedy

Objectives:

  1. Define what HQO quality standards are and how they are developed
  2. Describe the work currently being done to develop a quality standard for osteoarthritis
  3. Discuss what is being done to support the adoption of the Osteoarthritis Quality Standard within Ontario

Active Learning: Q&A (~6 mins)

4:40 PM

 Panel Discussion

5:00 PM

 End of Symposium

Saturday May 5, 2018

8:00 AM

Registration and Continental Breakfast

SESSION 1

Chair: Dr. Prism Schneider

8:30 AM

The Canadian Multicentre Osteoporosis Study (CaMos) – Dr. David Goltzman

Objectives:

  1. To define the objectives of the Canadian Multicenter Osteoporosis Study
  2. To describe the structure of the study
  3. To explain the results from the study

Active Learning: Q&A (~8 mins)

9:00 AM

Visualizing Musculoskeletal Anatomy and its Clinical Impact – Dr. Andy Kin On Wong

Objectives:

  1. To describe imaging techniques available to visualize musculoskeletal features
  2. To explain how to quantify musculoskeletal features and what those measurements can and cannot represent
  3. To examine how these musculoskeletal features interact and could have an impact on clinical outcomes

Active Learning: Q&A (~8 mins)

9:30 AM

Osteoporosis – New Treatments – Dr. David Kendlar

Objectives:

  1. Discuss the clinical effects of sclerostin antibody (romosozumab) and abaloparatide on bone health
  2. Compare the anti-fracture efficacy of anabolic and antiresorptive therapies
  3. Understand the antiresorptive effects of conjugated estrogen/bazodoxifene in postmenopausal women.

Active Learning: Q&A (~8 mins)

10:00 AM

Osteoarthritis – New Treatments – Dr. Tom Appleton

Objectives:

  1. Explain the importance of motivating healthy living in the management of osteoarthritis
  2. Discuss new osteoarthritis treatments in development
  3. Describe the role for injectables currently being used off label

Active Learning: Q&A (~8 mins)

10:30 AM

– BREAK –

SESSION 2

Chair: Dr. Suzanne Morin

11:00 AM

Vertebral Fracture Assessment – Dr. Jacques Brown

Objectives:

  1. Define what is a vertebral fracture
  2. Define what is not a vertebral fracture
  3. Describe the clinical impact of vertebral fracture assessment

Active Learning: Q&A (~8 mins)

11:30 AM

Hip and Knee Arthroplasty  – Outcomes – Dr. Mike Dunbar

Objectives:

  1. Summarize the different kind of outcomes that can be applied to hip and knee arthroplasty
  2. Compare the strength and limitations of different kinds of metrics
  3. Describe the challenges and paradoxes associated with hip and knee arthroplasty outcomes

Active Learning: Q&A (~8 mins)

12:00 PM

Sarcopenia, Osteoporosis and Fractures in Men – Dr. Peggy Cawthon

Objectives:

  1. Describe the recent advances in sarcopenia research
  2. Describe the recent advance in research for osteoporosis in men
  3. Explain the relation between sarcopenia and fractures

Active Learning: Q&A (~8 mins)

12:30 PM

– CLOSING REMARKS –

Sunday May 6, 2018

REGISTRATION

Credit – Visa or MasterCard accepted. To pay by credit card, click the registration button for your registration type (i.e. Trainee, MD, Allied Health, etc.) , and provide all requested details.

Following the completion of the registration and payment process, a confirmation email will be sent to the email address provided in your registration details.

Click the “Register Now” button that applies to you.

1.

Allied Health Registration

2.

MD Registration

3.

OAMRS/CAR Technologist Registration

4.

NON-OAMRS/CAR Technologist Registration

5.

Trainee Registration