Medical Grand Rounds

The Medical Grand Rounds are an accredited group learning activity as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

JEWISH GENERAL HOSPITAL
DEPARTMENT OF MEDICINE
MONDAY MEDICAL GRAND ROUNDS
12:30 - 1:30 PM
BLOCK AMPHITHEATRE

* Lunch will be served at 12:10 PM.

September 2, 2019

Labour Day - No Rounds

September 9, 2019

No rounds

September 16, 2019

CLINICAL ETHICS ROUNDS
ETHICAL ISSUES REGARDING PEG FEEDING TUBES FOR DEMENTIA PATIENTS; A CASE REVIEW

Educational Objectives:
1. Engage in a discussion about the risks and benefits of the intervention 
2. Analyze the role of the patient’s substitute decision-maker regarding feeding tube’s 
3. Review of legal components 
 
Mr. Kevin Hayes
Clinical Ethicist 

Albert Cohen, MD
Associate Professor of Medicine, McGill University 
Chief, Division of Gastroenterology, Jewish General Hospital 

Me Andréane Baribeau
Attorney- CIUSSS West Central Montreal 
 

September 23, 2019

THE FUTURE OF PATHOLOGY: FACTS, TRENDS, AND DREAMS 

Educational Objectives:
At the end of the presentation, the attendees will:
1. Be more familiar with the recent and current evolution of Pathology, especially in the field of molecular pathology and contextual genomics
2. Better understand the current and coming disruptive technologies in Pathology
3. Have some ideas on the mid- and long-term direction of medical diagnostics, including Pathology 
 
Alan Spatz, MD 
Professor of Pathology and Oncology, McGill University 
Director, Division of Pathology, Jewish General Hospital
Canada Research Chair in Molecular Pathology  

September 30, 2019

No Rounds - Rosh Hashanah

* October 7, 2019

FIFTH ANNUAL DEPARTMENT OF MEDICINE CLINICAL RESEARCH SYMPOSIUM
I. AN ASSAY TO MEASURE CYP3A4 AND CYP1A2 ENZYME ACTIVITY IN HUMANS: POTENTIAL RELEVANCE IN LUNG CANCER 
Thomas Jagoe, MD, PhD, FRCP

Associate Professor of Medicine, McGill University
Director, McGill Cancer Nutrition Rehabilitation (CNR) Program
Co-Director of Peter Brojde Lung Cancer Centre (PBLCC)
Staff, Division of Pulmonary Medicine
Jewish General Hospital
Educational Objectives:
1. To remind audience about potential clinical importance of CYP3A4 enzyme activity in drug metabolism
2. To outline the theoretical link between activity of CYP3A4 and CYP1A2 enzymes and metabolism of certain anticancer drugs used in lung cancer
3. To detail the range of different factors which can influence activity of these enzyme
II. A MULTIDISCIPLINARY APPROACH TO DOCUMENTATION OF DELIRIUM IN HOSPITALIZED MEDICAL PATIENTS
Elise Levinoff, MD

Assistant Professor of Medicine, McGill University
Staff, Division of Geriatric Medicine, Jewish General Hospital
Educational Objectives: 
1. To assess whether a focused teaching session on delirium in hospitalized medical inpatients can improve documentation 
2. To determine whether the change in documentation leads to better work up and management of delirium in hospitalized inpatients
3. To promote the importance of AAPA (Approche Adaptée à la Personne Âgée) and its relevance to hospitalized medical patients
III. UNUSUAL HOBBIES AND BAD HABITS: MY EXPERIENCE WITH FECAL MICROBIOTA TRANSPLANT AT THE JGH
Marty Teltscher, MDCM, FRCPC 

Medical Lead, JGH Antimicrobial Stewardship Program
Assistant Professor, McGill University Faculty of Medicine
Division of Infectious Diseases, Department of Microbiology
CIUSSS - CO Montréal - West Central Montreal Health
Jewish General Hospital 
Educational Objectives: 
1. What is fecal microbiota transplant, and why is thought to work? 
2. Is there something particular about patients that suffer from recurrent/refractory C. difficile infections?
3. What I have encountered while doing consults for FMT
Contact Person: E. L. Schiffrin, MD, PhD, Physician-in-Chief, Department of Medicine, Tel. 514-340-7538.

October 14, 2019

No Rounds - Thanksgiving

* October 21, 2019

CLEANLINESS AND GODLINESS: REVISITING SKIN HYGIENE AND CUTANEOUS T CELL DYSREGULATION IN ATOPIC DERMATITIS 
Carolyn Jack, MDCM, PhD, FRCPC

Assistant Professor of Medicine, McGill University
Divisional Lead in Quality and Innovation
Division of Dermatology Medicine
St. Mary's Hospital and Jewish General Hospital
McGill University Health Centre 
Educational Objectives: 
1. What is the role of Staphylococcus Aureus in Atopic Disease ?
2. What kind of cells give us immunity at the skin surface?
3. What is the role of soap in skin health? 
Contact Person: Robin Billick, MD, Chief, Division of Dermatology, Tel. 514-340-8222 ext. 25065.

* October 28, 2019

DILEMMAS IN THE CARE OF THE PERSON WITH ADVANCED DEMENTIA
Susan Mitchell, MD, MPH

Professor of Medicine, Harvard Medical School  
Senior Scientist, Hinda and Arthur Marcus Institute for Aging Research
Director, Palliative Care in Aging Research Center
Co-Director of the Interventional Studies in Aging Center
Hebrew Senior Life in Boston 
Educational Objectives: 
1. Understand the clinical course of advanced dementia
2. Gain knowledge regarding the most common complications and management outcomes in advanced dementia
3. Be able to operationalize an ethically sound, evidence based approach to decision-making in advanced dementia 
Contact Person: José Morais, MD, Chief, Division of Geriatric Medicine, Tel. 514-340-7501.

*November 4

RECENT ADVANCES AND NOVEL APPROACHES IN TARGETED THERAPY FOR LUNG CANCER

Carmela Pepe, MD, FRCPC
Assistant Professor of Medicine, McGill University
Division of Pulmonary Diseases, Department of Medicine, Jewish General Hospital

& Jason Agulnik, MD, FRCPC
Assistant Professor of Medicine, McGill University
Division of Pulmonary Diseases, Department of Medicine, Jewish General Hospital

Educational Objectives:
1. Review recent novel therapies in oncogenic driven lung cancer (Dr. Pepe)
2. Review strategies in detection of molecular targets (Dr. Agulnik)
Contact Person: Carmela Pepe, MD, Division of Pulmonary Medicine, Tel. 514-340-8222 ext. 23636.

*November 11

CANADIAN PATIENT SAFETY WEEK

IMPROVING DISCLOSURE IN PERSON CENTERED CARE

Suzanne Levitz, MD
Associate Director of Professional Services (DPS), CIUSSS CODIM

Mrs. Chantal Bellerose
Assistant to the Directorate of Quality, Innovation, Evaluation, Performance and Clinical Ethics (DQIEPE) Coordinating Quality, Risk Management, Accreditation, Clinical Ethics, User Experience and Planetree, CIUSSS CODIM

Me Nathalie Lecoq
Chief Legal Counsel and Coordinator of Legal Affairs
Directorate of Human Resources, Communications and Legal Affairs (DHRCAJ), CIUSSS CODIM

Ms. Isabelle Caron
Associate Nursing Director, CIUSSS CODIM

Mr. Evan Litwin
Patient Partner

Educational Objectives:
1. Reviewing disclosure obligations and data on our current practice
2. Building our skills towards disclosure and continuously improving our culture of caring, learning, improvement and trust
3. Recognizing challenges in documenting and ensuring effective communication to manage events and meet mandatory AH-223 reporting guidelines
4. Ensuring person centered care and services, team work and user-patient-family partnership for success: closing the loop 

Contact Person: Chantal Bellerose, Dt. P., B. Sc., M. Sc. Health Adm., Assistant to DGA -Director, Director DQEPEA and Coordinator of quality, risk management, accreditation, clinical ethics and user experience, ext. 27895.

*November 18

MULTIPLE MYELOMA: 2019 AND BEYOND

Rayan Kaedbey, MD
Assistant Professor of Medicine, McGill University
Member, Division of Hematology, Jewish General Hospital

Educational Objectives:
1.To recognize the updated diagnostic criteria and prognostication strategies
2. To recognize current treatment approaches
3. To understand future directions in testing and therapeutics
Contact Person: Hans Knecht, MD, Chief, Division of Hematology, Tel 514-340-8222 ext. 28799.

*November 25

CAN WE ELIMINATE HEPATITIS C?

Averell Sherker, MD, FRCPC
Scientific Advisor for Viral Hepatitis and Liver Diseases, Division of Digestive Diseases and Nutrition
Adjunct Investigator, Clinical Research Section, Liver Diseases Branch
National Institute of Diabetes and Digestive and Kidney Diseases
Bethesda, Maryland

Educational Objectives:
1. Understand the epidemiology, natural history, and treatment of Hepatitis C
2. Understand strategies for the eradication of Hepatitis C
3. Become aware of ongoing implementation projects worldwide
Contact Person: Polymnia Galiatsatos, MD, Division of Gastroenterology, Tel. 514-340-8222 x 28144.

 

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