JOIN NOW
If you are hosting a rural relevant CME course and would like your event added to our calendar, please send us an email
* By registering as a mentor for this program, you consent to allowing the SRPC to share the information you have provided to mentees that register for the program. As a mentor, you may contact the SRPC at any time and have your name removed.
** Mentors must be SRPC members to participate in this program.
If you are looking for a Rural Mentor. Visit the SRPC Mentor Program page for all the details.
Mentees Must be SRPC members to participate in this program. (Join here)
SRPC agrees to reimburse physicians who are successful in applying for funding for the rural education training program (the “Program”). Physicians engaging in the Program as trainees or preceptors (the “Participants”) do so at their own risk and SRPC has no responsibility or liability for any action or omission of any Participant or the content of the Program, except as otherwise provided under applicable law. All statements or opinions expressed by any Participant or any other third party providing materials for use in the Program, other than any written content explicitly provided by us, are solely the opinions and the responsibility of the person or entity making those statements or opinions or providing those materials.
If you are not an SRPC member yet but would like to sign up for hands-on workshops, Join Today! and connect with Jenna (jennak@srpc.ca) to switch your registration type and take advantage of the reduced member rate. It's never too late to join the SRPC.
Below is the list of Hands-On Workshop descriptions & objectives.
101/121 - Rapid Cycle Deliberate Practice Simulation for Difficult Airway Management (2 hours)
Date/Time: Thursday, April 20 / 10:20 - 12:30 (2 hours)
Using an actual case of Can’t intubate/Can’t Oxygenate as the basis for discussion, a modified approach to the difficult airway algorithm will be introduced. Using a high-fidelity simulation mannequin and cricothyrotomy task trainers, participants will have the opportunity to participate in Rapid Cycle Deliberate Practice simulation to practice and reinforce the concepts learned. The session will emphasize Crisis Resource Management principles. The session is best suited for participants with some airway experience such as physicians practicing Emergency medicine or anesthesia.
1. Define and communicate a robust airway plan for a patient requiring Rapid Sequence Intubation.
2. Apply Crisis Resource Management skills to recognize the need to progress down the difficult airway algorithm.
3. Execute a front of the neck airway on a cricothyrotomy task trainer.
129 - Pediatric Status Epilepticus (To be repeated)
Date/Time: Thursday, April 20 / 11:30 - 12:30
Intraosseous placement provides faster access, less complications and a higher success rate.
This workshop provides information regarding intraosseous access, insertion locations, indications, contraindications, and practice of insertion devices to introduce the clinician to the basics of intraosseous access.
1. Describe the anatomy and pathophysiology of intraosseous devices.
2. Identify the advantages of using intraosseous devices.
3. Recognize indications to increase use of intraosseous devices.
4. Interpret the need to elevate the comfort level of healthcare team members utilizing the intraosseous devices.
5. Practice Intraosseous Access.
148 - Lung PoCUS
Date/Time: Thursday, April 20 / 13:30 - 14:30
Participants will learn an approach to using PoCUS to assess for pulmonary pathology in a patient with dyspnea.
1. Understand the clinical questions that can be answered with lung PoCUS.
2. Describe PoCUS findings of pneumothorax, pleural effusion, and pulmonary edema.
3. Complete hands-on practice on models with PoCUS instructors.
149 - Pediatric Status Epilepticus (Repeat)
203/223 - Scar Release Workshop (2 hours)
Date/Time: Friday, April 21 / 08:00 - 10:10 (2 hours)
This hands-on workshop reviews the pathophysiology of scars, mechanisms of tissue changes secondary to scar release, patient assessment, treatment technique, patient responses to treatment, and aftercare considerations. A presentation patient will be assessed and treated in real time to illustrate the changes in subjective pain and objective movement.
Participants will learn the myoActivation technique of scar release which can be immediately integrated into clinical practice. In many patients, release of surgical or traumatic scars results in a fundamental change in chronic pain symptoms. Release of pre-existing scars prior to surgery can improve pain, mobility, and balance while releasing scars in the postoperative period can improve postoperative pain and dysfunction. Scar release has effective application in treatment of patients presenting to an emergency department.
Through practice exercises in pairs, participants will experience the sensation of treatment and the changes in range of movement from release of their own scars.
1. Understand the biomechanical effect of scars and consequential effect on persistent pain and mobility restriction.
2. Acquire confidence in safely and effectively altering the physical properties of scars through a dry needling technique.
3. Have fun with needles!
Note: Participants will be required to sign an informed consent to receive scar release treatment and to deliver scar release treatment.
206 - Advanced Techniques for the Anatomically Difficult Airway: SALAD, Awake, and Fibreoptic Intubation
Date/Time: Friday, April 21 / 08:00 - 09:00
This rotating workshop will allow participants to troubleshoot and gain hands-on experience with difficult anatomic airways. Techniques practiced will include suction-assisted laryngoscopy and airway decontamination (SALAD), awake laryngoscopic intubation, and fibreoptic intubation.
1. Perform Suction Assisted Laryngoscopy & Airway Decontamination (SALAD) to manage the grossly soiled emergency airway.
2. Develop the multiple techniques available for topicalizing the airway in order to facilitate awake intubation.
3. Demonstrate the ability to intubate a simulation task trainer using a bronchoscope/endoscope.
4. Describe the role of video laryngoscopy as a tool in awake intubation.
207/227 - The Occasional Facial Laceration (2 hours)
The discussion of facial lacerations is important because it considers issues that are common to the management of all laceration as well as some special features related to the face.
In this workshop it will be possible to learn about how to identify suture indications to get the best cosmetic result in suturing facial lacerations.
1. Describe the anatomy and pathophysiology of facial lacerations.
2. Identify the advantages of different types of facial suture.
3. Recognize indications for facial sutures.
4. Interpret the need to raise the comfort level of health team members in facial sutures.
5. Practice facial suturing in occasional facial laceration.
228 - A POCUS Workshop: Needle Guidance & Foreign Body Identification/Removal (To be repeated)
Date/Time: Friday, April 21 / 9:10 - 10:10
Using POCUS for the location and removal of foreign bodies, as well as US guidance for central and peripheral venous line placement improves both your success rate and patient care. This session is a hands on workshop using models to practice techniques to improve ultrasound guided needle placement and identification of foreign bodies.
In this workshop, participants will have the opportunity to practice locating and extracting foreign bodies embedded in models using POCUS. Participants will also use POCUS to practice needle guidance techniques.
1. Review the use of POCUS in locating foreign bodies in tissue.
2. Demonstrate an understanding of foreign body location using POCUS.
3. Development of skills for foreign body extraction using POCUS.
4. Gain familiarity with low cost models that can be easily replicated for ongoing practice and teaching.
5. Review the use of POCUS in procedures such as IV and central line insertion.
6. Demonstrate an understanding of the using POCUS for visualization in procedures.
7. Develop techniques for needle guidance using ultrasound.
248 - DVT POCUS
Date/Time: Friday, April 21 / 13:30 - 14:30
Attendees will participate in this combined didactic and hands-on session to develop a practical approach for when, why, and how to perform DVT POCUS in a rural setting. Attendees may be asked to act as models and should have a change of shorts if possible!
1. Learn the technique, pearls and pitfalls of performing Point of Care Ultrasound (POCUS) for lower extremity venous thrombosis.
2. Develop a rural centric workflow for work-up and treatment of lower extremity DVT.
3. Get hands on practice with the technique.
264 - Difficult Airway Management: A Team-Based Approach
Date/Time: Friday, April 21 / 14:40 - 15:40
This presentation is aimed at multidisciplinary healthcare teams with the goal of improving unanticipated difficult airway management. Similar to standardized training for other life-threatening events (i.e. cardiac arrest), we feel that having common language and a shared mental model will enhance provider confidence, team performance and patient care in the management of a difficult airway.
1. List predictors of a difficult airway and define failure of airway capture.
2. Identify recommended equipment for difficult airway management.
3. Explain the Canadian Airway Focus Group 2021 consensus guidelines for unanticipated difficult airway management.
4. Describe the equipment required and steps involved to perform a scalpel-bougie surgical cricothyroidotomy for emergency front of neck access.
267/287 - Development, Fabrication & Hands-on Practice on 3D Printed Simulators in the Context of Training for Rural & Remote Practice (2 hours - to be repeated)
Date/Time: Friday, April 21 / 14:40 - 17:00 (2 hours)
Background: Additive manufacturing (AM) is a relatively new technique that is disrupting simulation based education. Three dimensional (3D) printing is the most known form of AM. The benefits of AM include customization of simulators to fit any context and the reduction of costs. The overarching purpose of this workshop will be to allow the attendees to learn about 3D printing and practice psychomotor/technical skills on these simulators.
Format:
The workshop will consist of three parts:
Part 1: 1-hour didactic session that will address objectives 1- 3.
Part 2: 1-hour hands on experience that will address objective 4.
Part 1 will be a mix of didactic and hands-on experiences. It is strongly advised that all participants bring a laptop with internet connection. First, using Tinkercad software, the participants will work on designing and customizing a very simple suture pad. In the reminder of part 1, they will work with silicone solutions and 3D printed models to build a prototype suture pad. In part 2, all participants will be divided into 3 small sub groups and each group will be able to practice skills on three simulators: suturing, IO and perineal repair. They will also be able to explore more complex simulators such as needle decompression, anal sphincter repair, and intravenous insertion skills.
1. Demonstrate proficiency at the use of hardware, software and selection of manufacturing materials available and the operations of 3D printers.
2. Modify a simple 3D model for printing.
3. Create silicone solutions to construct soft tissues.
Hands on practice
4. Understand the difference between AM created models vs commercially available ones by testing both for:
a. Suturing
b. Intraosseous (IO) Insertion
c. Perineal repair
284 - Tools and Techniques for Difficult Airway Management
Date/Time: Friday, April 21 / 16:00 - 17:00
The aim of this workshop is to discuss techniques and tools that can assist with management of both the anticipated and unanticipated difficult airway. We recognize that individual rural and remote communities will have different levels of practitioner experience and tools available for difficult airway management. Therefore, we will present a variety of airway adjuncts and techniques to help participants develop skills that are relevant to their community and area of practice.
1. Review recommended equipment for difficult airway management.
2. Demonstrate and practice scalpel-bougie surgical cricothyroidotomy for emergency front of neck access, including the use of ultrasound for anatomic landmarking.
3. Demonstrate and practice intubation via laryngeal mask airway.
4. Review recommendations for difficult airway carts/boxes.
300 - Airway Management in Trauma
Date/Time: Saturday, April 22 / 08:00 - 09:00
This will be a practical update on what's new in airway management in trauma, in addition to some practical tips and trick. I will be focusing on:
1) BVM as the 1st crucial skill in resuscitation. How to do it well…it’s much harder than it looks to do properly.
2) SGA like the LMA or iGel
3) Cricothyroidotomy - the simple scalpel, finger, bougie technique.
Understand the current state of literature for best practices in airway management in trauma including:
-'C' before 'A' or resuscitate before you intubate.
- Management of the soiled airway.
- Airway checklist and algorithms - why are they worth the time.
- CICO emergencies and how to train for the surgically inevitable airway.
303/323 - Basic Suturing Workshop (To be repeated) (2 hours)
Date/Time: Saturday, April 22 / 08:00 - 10:10 (2 hours)
Two instructors, using video and slide material, will describe the equipment required for suturing, common suture material, and demonstrate frequently used suture techniques. Participants will have the opportunity to perform these techniques on pigskin under supervision.
1. Learn equipment and basic suturing techniques for lacerations and minor surgery.
2. Learn appropriate application of the various techniques.
3. Have an opportunity to practice techniques under supervision.
304/324 - PRACTISS Rural Simulations (2 hours)
This workshop is meant to help novice or inexperienced practitioners become comfortable facilitating effective medical simulations using PRACTISS (Peer-Run Applied Cases for Teaching Interdisciplinary Simulations and Scenarios)--a FOAMED online platform we developed to help those in rural and remote areas deliver simulation education to their peers or learners. Participants are encouraged to bring their own tablets or laptops, though this is not required.
The workshop will begin with a brief presentation outlining the importance of simulations in rural environments, and the barriers impeding its implementation in the rural and remote context. We will then introduce how the PRACTISS platform helps overcome those barriers, and briefly describe the platform's main features - its database of scenarios, prebrief and debrief scripts, facilitator supports, and live feedback tools.
The attendees will then be broken into small groups of 3-4, and given tablets if they did not bring their own devices. In groups, the attendees will each get the chance to facilitate fun non-medical simulation scenarios using the PRACTISS platform. Doing so, attendees will become familiar with using PRACTISS’ tools to run effective simulation experiences as novice facilitators–from the prebriefing of the simulation to the debriefing and the collection of feedback. A presenter will help coach each group through the activity.
Groups will be brought together at the end for a final debriefing discussion and question period.
1. Recognize the importance of effective medical simulation activities in rural environments and how PRACTISS helps overcome barriers to their implementation.
2. Identify, explore, and perform the key components of effective medical simulation activities using PRACTISS–including the prebrief, the simulation itself, the debrief, and the collection of feedback.
3. Become comfortable facilitating a rural medical simulation with minimal experience, resources, and preparation.
307/327 - Development, Fabrication & Hands-on Practice on 3D Printed Simulators in the Context of Training for Rural & Remote Practice (2 hours) (Repeat)
328 - Using Ultrasound to Assess Volume Status in the Office
Date/Time: Saturday, April 22 / 09:10 - 10:10
Ultrasound can be very helpful in the assessment of fluid status in patients with CHF. Quick views of the heart, IVC, and lungs can contribute significantly to your physical exam to help guide therapeutic management and avoid adverse side effects. In this workshop we will briefly review all three exams and offer the opportunity to practice any one of these exams or do all three in a "putting it all together" exercise.
1. Review Parasternal Long Axis of the heart to assess for ejection fraction.
2. Review IVC to assess for volume status.
3. Review views above the diaphragm to assess for "B" lines.
341/361 - Physical Examination of the Ear, Nose, Oral Cavity, Oropharynx, and Neck (2 hours)
Date/Time: Saturday, April 22 / 13:30 - 15:40 (2 hours)
RELEVANCE. Knowledge and competencies in the examination of the ENT-Neck are essential in generalist practice. However, several publications in the UK, US, and Canada have underscored the inadequate focus on the ENT-neck in undergraduate and postgraduate medical education. Moreover, the shift to online education and virtual patient care during the pandemic has decreased the opportunities for hands-on practice of physical examination techniques.
WORKSHOP DESCRIPTION. We developed a workshop focused on learning physical examination techniques of the ENT-neck. The workshop will consist of the following: (a) a 45-minute lecture and live demonstration of PE techniques and relevant findings; (b) a 75-minute hands-on practice. Regular otoscopes and video-otoscopes will be available for practice. The participants will be divided into groups; the workshop facilitators will assist and provide feedback.
LEARNING STRATEGIES. The workshop is designed with several strategies for learning. Relevance is established by using only topics listed in CFPC's Assessment Objectives for Certification in Family Medicine (2020). Handouts with photos of examination techniques and anatomical areas will be provided. Immediate feedback on examination techniques and findings will be provided.
At the end of the workshop, the participants will have achieved the following:
1. Reviewed the techniques of and common findings in physical examination (PE) of the ear, nose, oral cavity, throat (oropharynx only), and neck (ENT-Neck).
2. Watched a live demonstration of the PE of the ENT-Neck.
3. Practiced techniques of PE of the ENT-Neck on another participant. To provide immediate feedback of PE techniques, the participants will use a video-otoscope attached to a laptop. To teach the depth and pressure of palpation, the presenters will palpate consenting participants.
Note: PE of the ENT-Neck will need the consent of the person being examined. It is recommended that participants register in pairs or register with a partner in mind.
343/363 - Basic Suturing Workshop (Repeat) (2 hours)
347 - Advanced Wound Assessment and Suturing Workshop (To Be Repeated)
Date/Time: Saturday, April 22 / 13:30 - 14:30
This workshop will look at more complex wound types (traumatic or surgical) and help with developing an approach to closure. We will discuss surgical planning for excisional biopsies, undermining, subcutaneous wound closure to reduce tension at the wound site and different flap repairs / considerations. Corner stitch and stellate wound repairs will also be reviewed.
1. Surgical wound planning and closure.
2. Traumatic wound assessment and closure of complex wounds.
3. Undermining wound edges and subcutaneous suturing technique to reduce tension and other considerations for the best cosmetic results.
348 - A POCUS Workshop: Needle Guidance & Foreign Body Identification/Removal (Repeat)
349 - Chest Tubes (To be repeated)
We will discuss the indications for chest tube drainage, the rationale for using small diameter tubes and those inserted via Seldinger technique. We will spend a significant amount of time inserting chest tubes in models and review the mechanics of chest tube drainage.
1. To understand the indications and contraindications for chest tubes.
2. To understand the pros and cons of small diameter tubes and those inserted via Seldinger technique.
3. To practice the insertion of Seldinger technique chest tubes in relatively realistic models.
4. To discuss various aspects of the mechanics of chest drainage.
367 - Advanced Wound Assessment and Suturing Workshop (Repeat)
Date/Time: Saturday, April 22 / 14:40 - 15:40
368 - Perineal Repair (To be repeated)
After a short review of what evidence there is for practice in this area, we’ll have a chance to do perineal repairs on a model. This will be geared to the medical learner or those in early / resuming practice.
1. Be familiar with evidence-based practice in this area.
2. Practice perineal repair.
3. Learn pearls from other participants.
369 - Chest Tubes (Repeat)
388 - Perineal Repair (Repeat)
Date/Time: Saturday, April 22 / 16:00 - 17:00
All the details are online. WWW.SRPC.CA/RR2023
This Group Learning has been certified for up to 18 Mainpro+® credits.
The 2023 Program is now available. Book your travel and hotel with our discount codes and register for Add-On courses.
We are excited to welcome you to Niagara Falls and the 30th Annual Rural & Remote Medicine Course. This year, while we will continue to offer excellent peer-to-peer teaching on the subjects rural physicians need (emergency, obstetrics and gynecology, pediatrics, emergency preparedness, family medicine practice, and more), we are focussing on teaching and mentoring in rural practice. We are all asked to prepare the next generation of practitioners, and we at the SRPC want to help you do just that. Our plenary speakers will share about rural generalist care and providing it (yes, this needs work) on the international, national and SRPC home-grown levels while guiding the physicians who will take this on after we retire. Our speakers and workshops from across Canada will leave you with more confidence, whether in managing ADHD, inserting chest tubes, providing palliative care, or teaching medical students and residents. Add to this the usual convivial, interactive and social culture of Rural & Remote, and there will be lots of networking with your colleagues from across the country. As it is the early spring of the Niagara region, you will want to book your time off now and join us at Rural & Remote 2023!
For more information or if you have questions, please get in touch with Louise (louisea@srpc.ca). Here are some of our 2023 sponsors:
ALL EVENT CANCELLATIONS MUST BE MADE IN WRITING BY EMAIL TO JENNAK@SRPC.CA
Full refund (less $75 admin fee) will be granted if notification is received by March 4th.
50% refund will be granted for cancellations made between March 5th and March 21st OR full amount (less $75 admin fee) as a credit on your account to be used on future invoices (events, membership, or donations).
Refunds will not be granted after March 21st. Full amount (less $75 admin fee) as credit on your account to be used on future invoices (events, membership, or donations).
Deposits are non refundable but are transferable to SRPC membership or donations.
Social tickets are non refundable but may be transferred or donated to a student or resident.
Pending registrations are considered as "planning to attend" or "pay later". Please inform us as soon as possible if your plans have changed. If you are no longer able to attend, we will cancel your registration.
Our contacted room block at both Marriott’s is almost full. Some dates and room types have been fulfilled. Rooms are available on certain days at our group rate. For the dates that we have fulfilled our requirements, rooms are available without the discounted rate. Should you be required to make separate reservations, please note you will not have to move rooms. Our group rate is not guaranteed once our block is sold out or after March 17, 2023.
Niagara Falls Marriott Fallsview Hotel & Spa 5 min walk (400m) to the Niagara Falls Convention Centre 1-888-501-8916
Book online and use our discount code. QC4GKC41
The booking is to be made to the following city: Toronto, YYZ (ON) The travel period begins Wednesday, April 12, 2023 and ends Sunday, April 30, 2023. For North America 5% applies on standard fares, 10% on flex fares & higher. For International Travel 10% on standard fares & higher.
From Toronto Pearson International Airport to Niagara Falls. Please have the following ready: Travel dates Airline and flight number (arrival/departure) Name of the hotel Book Online and use discount code 713. or call 1-905-374-8111 $110.00 + HST Round Trip Shuttle $79.00 + HST One Way 10% Discount on all private exclusive services for all airports (Hamilton, Billy Bishop Toronto Island).
Are you making R&R a family trip or a couples getaway? Start planning now. Plan your trip with the Visitor’s Guide, Coupon Book and Map. Digital Booklet Online Here. Niagara Falls Tourism also offers everything you need to plan your trip. Find attractions, restaurants and events to fill your itinerary.
Full details are available in the prospectus.
If you have any questions please contact Louise - louisea@srpc.ca or 819-647-7054
• Full payment is due 30 days after receipt of your registration form. All payments must be made in full by March 1, 2023 • Bookings will be released for resale if full payment is not received within 30 days of submitting the application. • We will review your Registration/Invoice, (apply your deposit/discount if applicable) and send you the final invoice. • Deposits are non refundable.
• Full payment is due 30 days after receipt of your registration form. All payments must be made in full by March 1, 2023
• Bookings will be released for resale if full payment is not received within 30 days of submitting the application.
• We will review your Registration/Invoice, (apply your deposit/discount if applicable) and send you the final invoice.
• Deposits are non refundable.
