CLINICAL PROBLEM SOLVING IN PAIN
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1 - Excellence in Care - Canadian Academy of Pain Management 2ND ANNUAL COURSE: CLINICAL PROBLEM SOLVING IN PAIN NOVEMBER 19 20, 2011 FOUR POINTS SHERATON HOTEL 6257 AIRPORT ROAD, MISSISSAUGA, ONTARIO, CANADA REGISTRATION AND PROGRAM GUIDE Canadian Academy of Pain Management 1143 Wentworth Street West, Suite 202 Oshawa, ON L1J 8P7 T: office@eventsinsync.com Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 1
2 CLINICAL PROBLEM SOLVING IN PAIN COURSE The Canadian Academy of Pain Management invites all healthcare professionals to a end the 2nd annual Clinical Problem Solving in Pain Course, to be held in Toronto, Ontario, November 19 20, This course will benefit those entering the field of pain management and treatment, and experienced clinicians interested in upda ng their skills and knowledge. Faculty is drawn from Canadian pain prac oners, respected for their contribu ons to pain management. WHO SHOULD ATTEND This mul disciplinary course is of interest to: Basic Scien sts Physicians Chiropractors Psychologists Den sts Nurses Physical Therapists Occupa onal Therapists Pharmacists Policy Makers Professors Researchers Residents ACCREDITATION For Na onal or Provincial Mainpro M1 programs: This program has been accredited by the College of Family Physicians of Canada and the Ontario chapter for up to 13 Mainpro M1 credits." COURSE OBJECTIVES Provide case based topics. Small working groups and interac on with groups and faculty. Provide take away skills and informa on that can be applied to your own prac ce. LOCATION OF COURSE Four Points Sheraton Hotel 6257 Airport Road Mississauga, Ontario, Canada, L4V 1E4 T: , Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 2
3 ACCOMMODATIONS FOUR POINTS SHERATON HOTEL 6257 Airport Road, Mississauga, Ontario, Canada, L4V 1E4 T: ; A limited number of rooms have been blocked at the hotel at the rate of $95.00 for single or double occupancy. The block is being held un l Wednesday October 19, The Four Points Sheraton Hotel or the Canadian Academy of Pain Management cannot guarantee rates and or availability a er this date, nor can they guarantee availability if the room block sells out. Check in me is 3:00 pm and check out me is 12:00 pm. To book your room online please visit: To book your room by telephone, please call either of the numbers listed above and be sure to ask for the Canadian Academy of Pain Management room block. Please note the following: The rates are in Canadian dollars and exclude applicable taxes. Taxes applicable are 13% HST. Free transporta on to and from the Airport via a dedicated 24 hour shu le service. Free wireless internet access in all guestrooms and public areas. Free local and 800/888 telephone calls. Free use of their up to date Business Centre (outgoing faxes will be charged). Free use of their up to date recrea onal facili es that include an indoor pool, whirlpool, sauna and fitness centre. Starwood Preferred Guest Program. Enjoy dining in their De Maple Lounge and Restaurant. REGISTRATION Three ways to register: Online: (Credit card payments only) Mail: Canadian Academy of Pain Management, 1143 Wentworth Street West, Suite 202 Oshawa, ON L1J 8P7 Fax: If registering by mail or fax, please complete the registra on form found on page 8. Please note CANCELLATION POLICY Cancella ons are accepted up to November 1, 2011, and are subject to a $50.00 cancella on fee. No refunds or cancella ons are accepted a er November 1, 2011, however delegate subs tu on is accepted by wri en no fica on only ( or fax). Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 3
4 2011 COMMITTEE CHAIR: Eleni Hapidou, PhD, C Psych, Psychologist, Chronic Pain Management Unit, Chedoke Hospital, Hamilton Health Sciences; Associate Professor (PT), Department of Psychiatry and Behavioral Neurosciences, Associate Faculty member, Department of Psychology, Clinical Behavioral Sciences and Bachelor of Health Sciences Program, McMaster University, Hamilton, Ontario CO CHAIR: Martha Bauer, BSc, OT, OT Reg (Ont), Martha Bauer OT Services, Burlington, Ontario; Clinical Associate, School of Rehabilita on Sciences, Occupa onal Therapy Program, McMaster University, Hamilton, Ontario COMMITTEE MEMBERS: Gloria Gilbert, PT, MSc, Fellow, CAPM; Personal Injury and Pain Management Programs, The Downtown Clinic, Physiotherapy & Health Counselling, London, Ontario Howard Jacobs, Howard Jacobs, LRPCSI, MICGP, DAAPM, Chair Sec on Pain Physicians OMA; Past President Canadian Academy of Pain Management; Medical Director, The Jacobs Pain Centre; Advisory Board, CPSO on OHPIP, Markham, Ontario David Rosenbloom, Pharmacist; Professor, Department of Medicine, McMaster University, Hamilton., Ontario Eldon Tunks, MD, FRCPC, Psychiatrist, Member of AAPM (DAAPM); Member of CAPM (DCAPM), Emeritus Professor Psychiatry, McMaster University; Adjust Professor, Canadian Memorial Psychiatric College; Ac ve Staff, Department of Physical Medicine and Rehabilita on, Hamilton Heath Sciences, Hamilton, Ontario; President of Canadian Academy of Pain Management 2011 FACULTY Martha Bauer, BSc, OT, OT Reg (Ont), Martha Bauer OT Services, Burlington, Ontario; Clinical Associate, School of Rehabilita on Sciences, Occupa onal Therapy Program, McMaster University, Hamilton, Ontario Norman Buckley, BA (Psych), MD, FRCPC, Professor and Chair, Department of Anesthesia, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario Gloria Gilbert, PT, MSc, Fellow, CAPM; Personal Injury and Pain Management Programs, The Downtown Clinic, Physiotherapy & Health Counselling, London, Ontario Eleni Hapidou, PhD, C Psych, Psychologist, Chronic Pain Management Unit, Chedoke Hospital, Hamilton Health Sciences; Associate Professor (PT), Department of Psychiatry and Behavioral Neurosciences, Associate Faculty member, Department of Psychology, Clinical Behavioral Sciences and Bachelor of Health Sciences Program, McMaster University, Hamilton, Ontario Dennis Marangos, DDS, DABCP, Den stry, Diplomate of the American Board of Craniofacial Pain; Founding President of the Canadian Chapter of The American Academy of Craniofacial Pain; Member of the American Academy of Orofacial Pain; Principle Doctor, Yorkville TMJ Centre, Toronto, Ontario David Rawson, DDS, DABCP, FAACP, Den st, University of Western Ontario; Owner, the TMJ & Sleep Therapy Centre of London Ontario; Diplomate, American Board of Craniofacial Pain (ABCP); Fellow, American Academy of Craniofacial Pain (AACP); Faculty, Academy of Clinical Sleep Disorders Disciplines, ACSDD; Founder and President, S.M.I.L.E, Orthopedic Study Club; Board Member, AACP; Founder and President, Canadian Chapter, AACP Ruth Ringland, MN, NP(F), Specializing in Pain Management, Jim Pa son Outpa ent Care and Surgery Centre, Pain and Symptom Management Clinic, Surrey, Bri sh Columbia Kevin Rod, MD, FCFP, Family Medicine Lecturer, University of Toronto; Director, Toronto Poly Clinic, Toronto, Ontario David Rosenbloom, Pharmacist; Professor, Department of Medicine, McMaster University, Hamilton., Ontario Colin Shapiro, PhD, FRCP(C), Professor of Psychiatry and Ophthalmology, University of Toronto; Director of the Sleep & Alertness Clinic & Sleep Research Laboratory, Toronto Western Hospital; Director of the Youthdale Child & Adolescent Sleep Clinic, Toronto, Ontario Eldon Tunks, MD, FRCPC, Psychiatrist, Member of AAPM (DAAPM); Member of CAPM (DCAPM), Emeritus Professor Psychiatry, McMaster University; Adjust Professor, Canadian Memorial Psychiatric College; Ac ve Staff, Department of Physical Medicine and Rehabilita on, Hamilton Heath Sciences, Hamilton, Ontario; President of Canadian Academy of Pain Management Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 4
5 PROGRAM Saturday November 19, :30 am 4:30 pm REGISTRATION OPEN 7:00 am 8:00 am CONTINENTAL BREAKFAST 8:00 am 8:15 am OPENING REMARKS Dr. Eldon Tunks, President, Canadian Academy of Pain Management 8:15 am 8:45 am KEYNOTE SPEAKER SLEEP AND CHRONIC PAIN DR. COLIN SHAPIRO 8:45 am 9:30 am CASE BASED WORKSHOPS, BREAK OUT GROUPS HEADACHE, SLEEP AND OTHER FACTORS Facilitators: Dr. David Rosenbloom, Dr. Colin Shapiro, Dr. Eldon Tunks 9:30 am 10:00 am CASE FORMULATION SUMMARY & DISCUSSION 10:00 am 10:30 am REFRESHMENT BREAK ANDTRADESHOW 10:30 am 10:45 am CASE PRESENTATION PHYSIOTHERAPY AND COMPLEX CASES / INTERPROFESSIONAL PAIN MANAGEMENT Gloria Gilbert 10:45 am 11:30 am CASE BASED WORKSHOPS, BREAK OUT GROUPS Facilitators: Martha Bauer, Gloria Gilbert, Dr. Eleni Hapidou, Ruth Ringland and Dr. David Rosenbloom 11:30 am 12:00 pm CASE FORMULATION SUMMARY & DISCUSSION 12:00 pm 1:00 pm BUFFET LUNCHEON AND TRADESHOW 1:00 pm 1:15 pm CASE PRESENTATION GETTING PEOPLE WITH CHRONIC PAIN BACK TO WORK Martha Bauer 1:15 pm 2:00 pm CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Martha Bauer, Gloria Gilbert, Dr. Eleni Hapidou and Dr. Eldon Tunks 2:00 pm 2:30 pm CASE FORMULATION SUMMARY & DISCUSSION 2:30 pm 3:00 pm REFRESHMENT BREAK AND TRADESHOW Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 5
6 PROGRAM Saturday November 19, 2011, con nued 3:00 pm 3:15 pm CASE PRESENTATION FAILURE TO RESPOND ADEQUATELY TO ANALGESIA Dr. David Rosenbloom 3:15 pm 4:00 pm CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Dr. Norman Buckley, Dr. Kevin Rod and Dr. Eldon Tunks 4:00 pm 4:30 pm CASE FORMULATION SUMMARY AND DISCUSSION 4:30 pm CLOSING REMARKS Dr. Eldon Tunks, President, Canadian Academy of Pain Management SUNDAY NOVEMBER 20, :30 am 4:30 pm REGISTRATION OPEN 7:00 am 8:00 am CONTINENTAL BREAKFAST 8:00 am 8:15 am DAY ONE SUMMARY AND INTRODUCTION Dr. Eldon Tunks, President, Canadian Academy of Pain Management 8:15 am 8:45 am KEYNOTE SPEAKERS 8:15 am 8:45 am CRANIOFACIAL PAIN DR. DENNIS MARANGOS & DR. DAVID RAWSON 8:45 am 9:30 am CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Dr. Dennis Marangos and Dr. David Rawson 9:30 am 10:00 am CASE FORMULATION SUMMARY AND DISCUSSION 10:00 am 10:30 am REFRESHMENT BREAK AND TRADESHOW 10:30 am 10:45 am CASE PRESENTATION PAIN AND AGING Dr. Dennis Marangos and Dr. David Rawson 10:45 am 11:30 am CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Dr. Dennis Marangos, Dr. David Rawson, Dr. David Rosenbloom and Dr. Eldon Tunks 11:30 am 12:00 pm CASE FORMULATION SUMMARY AND DISCUSSION Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 6
7 PROGRAM Sunday November 20, 2011, con nued 12:00 pm 1:00 pm BUFFET LUNCHEON AND TRADESHOW 1:00 pm 1:15 pm CASE PRESENTATION INTERVENTIONAL PAIN MANAGEMENT Dr. Norman Buckley 1:15 pm 2:00 pm CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Dr. Norman Buckley, Ruth Ringland, Dr. Kevin Rod and Dr. Eldon Tunks 2:00 pm 2:30 pm CASE FORMULATION SUMMARY AND DISCUSSION 2:30 pm 2:45 pm REFRESHMENT BREAK 2:45 pm 3:00 pm CASE PRESENTATION INTERVENTIONS AS A DIAGNOSTIC STRATEGY Dr. Norman Buckley 3:00 pm 3:45 pm CASE BASED WORKSHOP, BREAK OUT GROUPS Facilitators: Dr. Norman Buckley, Ruth Ringland, Dr. Kevin Rod and Dr. Eldon Tunks 3:45 pm 4:15pm CASE FORMULATION SUMMARY AND DISCUSSION 4:15 pm CLOSING REMARKS Dr. Eldon Tunks, President, Canadian Academy of Pain Management Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 7
8 CLINICAL PROBLEM SOLVING IN PAIN COURSE REGISTRATION - Excellence in Care - THREE WAYS TO REGISTER: Canadian Academy of Pain Management Online: (Credit Card only) Mail: Canadian Academy of Pain Management, 1143 Wentworth Street West, Suite 202, Oshawa, ON L1J 8P7 CANCELLATION POLICY Cancella ons are accepted up to November 1, 2011, and are subject to a $50.00 cancella on fee. No refunds or cancella ons are accepted a er November 1, 2011, however delegate subs tu on is accepted by wri en no fica on only ( or fax). ATTENDEE INFORMATION Fax: Select one: (Please circle) Dr. Mr. Mrs. Ms. Prof. Name: First Last Organization: Address: City: Province: Postal Code: Telephone: Fax: (Please print clearly) Dietary/Medical Restrictions or Allergies: If you require Kosher meals, they will be subject to additional costs applicable by the hotel. Please indicate here is you require Kosher and indicate which meals: To choose your fee first choose the category you are registering under. (Please note, students must provide proof of student status.) Secondly, choose either the full course fee or one day fee. If choosing a one day fee, please indicate either Saturday or Sunday. Total in the right side column, add HST and complete the payment information. Fax or mail your proof of student status to the CAPM office (see above for details). MEMBER Regular Fee To November 11 MEMBER Onsite Fee November 12 To November 20 NON MEMBER Regular Fee To November 11 NON MEMBER Onsite Fee November 12 To November 20 Student Regular Fee To November 11 Student Onsite Fee November 12 To November 20 TOTAL FULL COURSE (2 DAYS) $ ONE DAY FEE (Please circle one) Choose Saturday November 19 or Sunday November $ JOIN CAPM NOW TO GET THE MEMBER COURSE RATES Rates are discounted for the balance of the 2011 year (Choose one please circle) Regular Member: $ Corresponding Member: $60.00 Student Member: $20.00 $ Sub total of course and membership fees Add 13% HST (# R T0001) to course and membership fees $ $ TOTAL FEES PAYABLE $ PAYMENT CREDIT CARD: VISA MASTERCARD AMEX Fax this form to Number: EXP: CVN: Name on Card: Signature: QUESTIONS: CAPM Office: T: ; office@eventsinsync.com Canadian Academy of Pain Management, Clinical Problem Solving in Pain Course, November 19 20, 2011, Page 8
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