Primary Healthcare Symposium

Friday, May 17, 2019

Time
Activity
12:30-13:30 REGISTRATION
13:30 - 15:30 PRIMARY HEALTHCARE SYMPOSIUM-PART I
Chair: Dr. Stephen Glazer
Details

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto
Toronto, Ontario

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine.

In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada.

In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members.

Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education.

He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

13:30 - 13:55 Introduction to Obesity-Pathophysiology, Risks, Cancer Risk, Associate Comorbidities
Speaker: Dr. Joseph Shaban
Details

Joseph Shaban, MD, FRCPC, FACE, DABOM
Endocrinology and Metabolism
Adjunct Professor of Medicine, Western University
Medical Director, Regional Bariatric Assessment and Treatment Centre of Windsor
Windsor, Ontario

Dr. Shaban is a native of Windsor, Ontario and has practiced endocrinology and metabolism in Windsor since 1986. He received his undergraduate and postgraduate training at the University of Western Ontario.

Canadian and American Board certified in both Internal Medicine and Endocrinology and Metabolism, and a Fellow of the American College of Endocrinology, he is also a Diplomate of the American Board of Obesity Medicine.

He is currently the Ontario Medical Association Chair of the Section of Endocrinology and Metabolism. He is the current Head of the Subsection of Endocrinology at Windsor Regional Hospital, and Director of the Regional Bariatric Assessment and Treatment Centre in Windsor.

He has been a board member of the Ontario Bariatric Network since its inception, and currently chairs the Perioperative Task Force for the OBN. He is an adjunct professor of Medicine at Western University and has been involved as a primary investigator in numerous national and international medical studies.

13:55 - 14:20 Psychology of Obesity
Speaker: Dr. Sandy Van
Details

Sandy Van, MD, CCFP, ABOM Diplomate
Lifestyle 360, Program Director
WellOne Medical Centre
Toronto, Ontario

Dr. Sandy Van is the founder and medical director of Lifestyle 360 Weight Management Program located in downtown Toronto. She is a board-licensed Family Physician and is a Diplomate of the American Board of Obesity Medicine. She dedicates her practice to helping individuals achieve sustainable weight loss with use of psychotherapy and medical management.

Dr. Van received her Doctorate of Medicine followed by completion of residency in Family
Medicine at the University of Toronto.

Presentation Overview

Psychological disorders can both foreshadow the development of obesity and follow the ongoing struggles to control weight. Individuals who actively suffer from such disorders including depression, anxiety, and eating disorders, may have more difficulty controlling their consumption of food, exercising an adequate amount, and engaging in behaviours that maintain a healthy weight. As such, psychological assessments and intervention are an integral component of treating obesity through improved management of stress and emotional states, and decreased reliance on feeding or sedentariness as a coping mechanism.

Learning Objectives

At the end of this presentation, participants should be able to:

  • Understand the prevalence and types of psychological co-morbidities in obesity
  • Perform a psychological assessment in the clinical setting for obesity management
  • Learn intervention strategies to address common psychological co-morbidities in obesity
  • Understand the impact of weight stigma amongst individuals who struggle with overweight or obesity
14:20 - 14:45 Pharmacotherapy for Treatment of Obesity
Speaker: Dr. Marie-Philippe Morin
Details

Marie-Philippe Morin, MD, FRCPC, ABOM
General Internal Medicine specialist
Bariatric Medicine fellowship

Dr. Marie-Philippe Morin works as a General Internal Medicine Specialist and Bariatric Medicine Specialist at the Quebec Heart and Lung Institute. She is also a researcher in the field of obesity and cardiometabolic risk factors affiliated to this Institute and is an Assistant Professor affiliated to Laval University. She completed her Doctorate in Medicine and her residency in General Internal Medicine at Laval University. In 2016, she achieved a one-year fellowship in bariatric medicine through the University of Ottawa at the Ottawa Hospital Bariatric Centre of Excellence and LEAF Weight Management Clinic. In 2018, she also got a diploma of the American Board of Obesity Medicine. Besides being speaker in many obesity conferences, D.r Morin is a member of the Canadian Association of Bariatric Physicians and Surgeons committees and she is one of the authors of the 2019 Obesity Canadian guidelines. Her specialty interests are cardiovascular risk factor management associated with obesity and the management of medical/nutritional complications after bariatric surgery, particularly duodenal switch. 

Presentation Overview
The counter-regulating mechanisms to defend body weight make weight loss and weight maintenance challenging for patients with obesity. Consequently, patients often need additional tools in conjunction with lifestyle modification to manage this chronic disease. Pharmacotherapy is a tool that clinicians can use to help patients manage obesity and its comorbidities. 

Learning Objectives

At the end of this presentation, participants should be able to: 

  • explain the mechanisms of action of the different anti-obesity drugs approved in Canada.
  • understand the indications and contraindications of the anti-obesity drugs. 
  • review the efficacy and safety data, the drugs interactions and the side effects related those drugs. 
14:45 - 15:10 Surgical Treatment of Obesity
Speaker: Dr. Mehran Anvari
Details

Mehran Anvari, O.ONT, MB BS, PhD, FRCSC, FACS 
Chair, Minimally Invasive Surgery and Surgical Innovation
Professor, Department of Surgery, McMaster University
Hamilton, Ontario

Dr. Mehran Anvari is a tenured professor of surgery and holds the research Chair of Minimally Invasive Surgery and Surgical Innovation at McMaster University. 

Dr. Anvari is the Past President of Canadian Association for Bariatric Physicians and Surgeons, and the clinical lead and chair of the Ontario Bariatric Network.  He is the scientific director and CEO of the Centre for Surgical Invention and Innovation, and the founding director of the Centre for Minimal Access Surgery. 

Dr. Anvari has been involved in teaching laparoscopic bariatric procedures for over 10 years in Canada and internationally, and is a faculty member for a number of bariatric programs, including the European Institute of Telesurgery (EITS) in Strasbourg, France. 

As a researcher, supervisor, mentor and advisor, Dr. Anvari has a continued commitment to teaching, education, publication and innovation. He has authored over 200 publications; holds seven patents; and is the principle investigator of numerous studies related to obesity, gastrointestinal disease, and surgical robotic systems and techniques. 

Dr. Anvari  has been honored many times for his innovation and research: he was awarded the ORION Leadership Award in 2010 and the ISS R&D Innovation Award in 2015. Dr. Anvari’s work with telerobotics has also been recognized by the federal and provincial government with the “Gold Medal of Distinction” and the “Diamond Award for Innovation in Technology”.  Most recently, Dr. Anvari was appointed to the Order of Ontario for his support in the development of medical robotics for early detection and treatment of cancers.

15:10 - 15:30 Panel Discussion
15:30 - 16:00 NUTRITION BREAK
16:00 - 17:30 PRIMARY HEALTHCARE SYMPOSIUM-PART II
Chair: Dr. Stephen Glazer
Details

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto
Toronto, Ontario

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine.

In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada.

In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members.

Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education.

He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

16:00 - 16:25 Family Doctor Initiative
Speaker: Dr. Scott Gmora
Details

Scott B. Gmora MD, FRCSC, FACS 
Minimally Invasive Gastrointestinal and Bariatric Surgery Director
Bariatric Clinic, St Joseph's Health Hamilton Assistant Professor
Department of Surgery McMaster University

Dr. Scott Gmora is an Assistant Professor of Surgery at McMaster University specializing in minimally invasive gastrointestinal and bariatric surgery. He completed his medical training at Queen's University receiving his Doctor of Medicine degree in 2002. He underwent residency training in general surgery at the University of Calgary and obtained specialty qualifications from the Royal College of Physicians and Surgeons of Canada and the American Board of Surgery in 2007. Dr. Gmora subsequently pursued 2 years of fellowship training in Critial Care and Trauma Surgery at the University of Miami's Ryder Trauma Center in Miami, Florida. In 2009, he completed an additional year of fellowship training in minimally invasive GI and bariatric surgery under Dr. Julio Teixeira at Columbia University's St. Luke-Roosevelt Hospital in New York. Dr. Gmora serves as the Ontario Bariatric Network's provincial lead for the Primary Care Engagement Task Force. He is also the Clinical Teaching Unit (CTU) Director for surgical residents at St. Joseph's Healthcare.

16:25 - 16:50 Nutritional Considerations with Obesity and Bariatric Surgery
Speaker: Mr. Adam Bryant
Details

Adam Bryant, BSc, BASc, RD
Registered Dietitian
Certified Bariatric Educator
Bariatric Program
St. Joseph's Healthcare Hamilton
Hamilton, Ontario

Adam first graduated from McMaster University with a Bachelor of Science before deciding to pursue a career in nutrition.  He then earned a Bachelor of Applied Science in Human Nutrition from the University of Guelph.  Adam completed his dietetic internship at Mount Sinai Hospital in Toronto, and has worked for the Bariatric Surgery Program at the St. Joseph's Healthcare Hamilton Bariatric Centre of Excellence since 2011. He achieved his Certified Bariatric Educator credential in 2018.  Adam is actively involved with the Ontario Bariatric Network, is co-chair of the Communications Committee and is currently on the Board of Directors for the Canadian Association of Bariatric Physicians and Surgeons.

Presentation Overview

This talk will discuss the primary nutrition recommendations, as well as practical suggestions for managing patients with bariatric surgery.  Focus will include diet and lifestyle considerations, as well as vitamin/mineral supplementation.

Learning Objectives

At the end of this presentation, participants should be able to:

  • Identify diet and lifestyle recommendations for patients who have had bariatric surgery
  • Understand preventative supplementation for nutritional deficiencies after bariatric surgery
  • Understand treatment strategies for common nutritional deficiencies after bariatric surgery
16:50 - 17:15 Perioperative Considerations for Bariatric Surgery
Speaker: Dr. Stephen Glazer
Details

Stephen A. Glazer, MD, FRCP(C ), FCCP
Internal Medicine
Critical Care Medicine
Diplomate of the American Board of Obesity Medicine

Medical Director, Bariatric Surgical Program
Humber River Regional Hospital
American College of Surgeons Level 1 Accredited Bariatric Center of Excellence

Medical Director, Greater Toronto Area Medical Bariatric Program
Humber River Regional Hospital/University Health Network

Assistant Professor, Department of Medicine
Division of Endocrinology and Metabolism
Queen's University

Lecturer, Department of Internal Medicine
University of Toronto
Toronto, Ontario

Dr. Stephen Glazer is a board certified specialist from the University of Toronto in Internal Medicine and Intensive Care Medicine. He is also a Diplomate of the American Board of Obesity Medicine.

In April 2010 he was appointed as the Medical Director for the Bariatric Surgical Program at Humber River Regional Hospital. He was instrumental in redeveloping their comprehensive bariatric surgical program. In that year, the bariatric surgical program was nominated as a Leading Practice by Accreditation Canada.

In 2012 Dr. Glazer was appointed as a the Director of the only hospital-based Medical Bariatric Program for the Greater Toronto Area, which has enjoyed great growth and development due to the significant contributions of its multidiscipline team members.

Dr. Glazer's commitment to the Obesity Epidemic is further displayed by his participation in many committees through the Ontario Bariatric Network and the Canadian Association of Bariatric Physicians and Surgeons. He has a strong interest in program development, quality care initiatives, and physician education.

He has personally been involved in direct patient care of over thousands of bariatric patients in the attempt to facilitate weight loss for improved overall health. His research interests include perioperative risk assessment and management as well as sleep apnea in the morbidly obese.

17:15 - 17:30 Panel Discussion
17:30 - 21:00 President's Party - Throwback to the 80's

For information on the CABPS/IFSO-NAC Conference, please click here.


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