A Message from the Chair of the Ottawa Organizing Committee
Fellow CAPD/ACDP Members,
It’s cold and snowy in the nation’s Capital as I write this, but come next September, we will welcome you with a “snow-free guarantee” unlike, I might add, Banff. However, like that beautiful town and the successful 2018 meeting, we have put together a full package in Ottawa for you, your staff, and the entire family.
We start off on Thursday with 3 pre-courses. Dr’s. Don Morrow and Jennifer Irwin will lead a Level 1 Workshop on Motivational Interviewing, techniques and motivational skills for you and your staff in your practice. QRS Education instructors will also be teaching a hands-on PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) Course for pediatric dentists, in particular those using levels of conscious sedation in their practice. Both of these full day courses have limited attendance, so please register early to assure your spot. NuSmile, one of the CAPD/ACDP Sustaining Sponsors will be also offering a pre-course on the Thursday, with a time that does not conflict with the other pre-courses.
The main scientific program begins on Friday with the conference theme of “Pediatric Dentistry: Evolving Trends and Changing Paradigms” and for this we have brought in the stars: Drs. Kevin Boyd, Clive Friedman, Anne Rowan-Legg, Kathy Momtahan and Barbara Sheller, with an incredible Conference Summit talk by Dr. Jeffrey Turnbull.
But of course the Ottawa Annual Conference is not just about the science. Join us in the Haida Gwaii Salon for an exciting Welcome Reception on Friday at the Canadian Museum of History, a beautiful architectural masterpiece alongside the Ottawa River. On Saturday evening as we close the 2019 Annual Conference, reconnect with colleagues and friends in the Panorama Room, high atop the Delta Hotels Ottawa City Centre, taking in the sunset over the city the Ottawa River and Gatineau Hills.
For companions and family there is a lot to see and do in the city and surrounding sites. Over the weeks and months ahead we will be announcing special activities to keep all happy and busy.
Please review the Conference program and register soon to guarantee your place at a great CAPD/ACDP gathering in Ottawa. We look forward to hosting you and your family.
Ian McConnachie, Chair, Local Organizing Committee
The City of Ottawa started off as a small village called Wright’s Town in 1800. Named after the farmer Philemon Wright, the village later became Hull, Quebec, across the Ottawa River from present-day Ottawa and part of the National Capital Region of Canada.
The village of Bytown was founded in 1826. It was named after the British engineer who supervised the construction of the Rideau Canal and today in Ottawa we have the Byward Markjet, and the Bytown Museum to remember Colonel John By’s accomplishments.
The name of the growing settlement was changed to Ottawa in 1855, after the “Ottawa River” which in turn had taken its name from the Algonquin First Nation word “Adawe” meaning ‘to trade”. In 1857, Queen Victoria chose Ottawa as the new capital for the Province of Canada. It was located between Montreal and Toronto, two of the cities competing to be the Capital, plus Ottawa was far from the American border. In 1867 Ottawa became the Capital of the Dominion of Canada.
Today Ottawa is a beautiful city where the Gothic-Revival style of the Parliament Buildings contrast with the dazzling architecture of the National Museums. And the many attractions continue with walkways, parks, bicycle paths, Embassy Row, Rideau Hall (the home of the Governor General), the Rideau Canal Locks, Confederation Square, seasonal festivals, shopping, dining, and amazing views of the Ottawa River. This is one destination where you may want to devote some time to explore before or after the Annual Conference.
The 2019 Conference Theme
Featured speakers at the 2019 Annual Conference
08:00 to 16:00
PEARS: Pediatric Emergency Assessment, Recognition and Stabilization
Breakfast and Lunch
Course offered by: QRS Educational Services
Maximum attendance 32 (only available to CAPD/ACDP Active Full Members)
Lesson 1: Overview of Science
Lesson 2: The Systematic Paediatric Assessment
Lesson 3: Initial Impression and Response
Lesson 4: Equipment used for respiratory emergencies
Group Work: Rescue Breathing & Equipment
Lesson 5: Airway & Breathing
Primary Assessment of Respiratory Problems
Lesson 6: Four Respiratory Case Studies
Lesson 7: Equipment for Management of Circulatory Emergencies
Group Work: Circulatory Skills Practice
Lesson 8: Circulation, Disability, Exposure
Primary Assessment and Identification of Shock
Lesson 9: Two Shock Case Studies
Lesson 10: BLS Practice
Lesson 11: Effective Team Dynamics
12:15-13:00: Lunch Break
13:00-14:15 Group Work:
Case Studies 1-6: Putting It All Together
Course Summary and Video-Based Case Studies Discussion
16: 00: Conclusion
1. A current Heart and Stroke Foundation BLS certification. Must be presented to course instructor.
2. Prepare from the PEARS Provider Manual: Please go to resuscitationheartandstroke.ca and click on “Shop for Training Material” and select the Pediatric Emergency Assessment, Recognition, and Stabilization (PEARs) Provider Manual reference # RE7110E for $42.95
About the Workshop
This paediatric emergency assessment, recognition and stabilization course is designed for all health care professionals (medical, nursing, paramedics, students, residents). Through hands-on experience and video based simulation, participants will develop the knowledge and skills needed for emergency evaluation and initial stabilization of seriously ill infants and children.
The focus of this course will be on establishing a systematic and rapid assessment, recognition of stable vs. unstable, and stabilization of the unstable paediatric patient presenting with airway and
respiratory compromise, shock, and cardiac arrest.
Due to the nature of the hands-on stations, this course is restricted to a maximum of 8 participants/session.
About the QRS Educational Services Presenters:
Bill McCreadie: Bill has been teaching with QRS Educational Services for over 14 years and
comes with a background in Paediatric Cardiovascular perfusion, Experimental Surgery and Pathology, and an extensive teaching history.
Mona Azzam: Mona’s experience includes Assistant Professor of Pediatrics, MSc PhD in Pediatrics in Egypt. Mona is currently attending the MSc program in Health Science Education at McMaster University with a Subspecialty in Pediatric Emergency Medicine.
Ananta Sawh: As the Clinical Practice Leader for Respiratory Therapy, she also acts as a part time professor at Durham College. She has worked in multiple clinical areas, servicing the neonatal to adult patient population.
Mohamed Eissa: Mohamed worked as a plastic reconstructive and micro surgeon. He worked in Military Hospitals for 17 years and has enormous experience in dealing with trauma and burns. During his career he was exposed to emergency, OR, and intensive care settings for adult as well as pediatric age groups.
08:00 to 16:00
Motivational Interviewing Level 1 Workshop
Exclusive Conference Fee: $349.00 plus HST, with Conference Registration
Breakfast and Lunch
Maximum attendance: 40 Available to CAPD/ACDP Active Full Members, Student Members and Dental Office Staff. Others may register for this pre-course however they will be placed on a Wait List)
Note to Participants: This is a hands-on or experiential workshop with lots of work in interviewing dyads followed by discussions and integrations into your professional practices.
This introductory full day session provides a meaningful overview of MI using The Monarch System’s unique approach which integrates MI with other impactful and evidence-based behaviour change practices such as coaching methods and key elements of behaviour change theories/applications. Most importantly, we will explore and help you to acquire applied techniques to use with your patients in your day-to-day practice. You will learn how to build motivation and transition that enhanced motivation into a strengthened and real commitment to healthier oral health behaviours. We will teach you different ways to use such elements as presence, competence views, compelling questions, reflective listening, readiness to change and change talk, tagging values onto desired behaviour changes, and moving with apparent-resistance in service of your patients’ health- related behaviours in lifelong care.
Learning Objectives & Relevance to Dental Professionals
At the end of our workshop on Motivational Interviewing & Coaching skills for the CAPD/ACDP, participants will be better able to:
• incorporate a repertoire of motivational skills into their professional toolbox;
• build motivation and commitment with their patients;
• collaborate with more engaged patients to design a working partnership for both shifting and managing their behaviours;
• work with people’s resistance toward improved motivation re specific health goals;
• reduce professional burnout by learning to incorporate motivational interviewing skills into their work;
• facilitate people’s real and authentic commitment to making important, short- and especially long-term behaviour changes.
Dr. Jennifer Irwin and Dr. Don Morrow both are award winning teachers, certified professional coaches trained and accredited with both the Coaches Training Institute and the International Coach Federation, and experienced, competent Motivational Interviewing (MI) workshop Facilitators.Both of them are also university professors, widely published authors, and proficient presenters to groups varying from small workshops to very large groups (up to 1200).
Dr. Irwin is a health behaviourist and Dr. Morrow holds his PhD in the health sciences and together, they bring over 40 years of combined, professional experience to their work. They co- lead a pioneering MI-related and evidence-based research program that specializes in healthy body weight promotion and obesity reduction and prevention among youth and adults, and smoking cessation among young adults.
“As co-owners of The Monarch System™ Inc., our mission is to be change agent partners with health professionals who strive to motivate their clients toward sustainable healthy behaviour choices and actions. With specific respect to dentistry and oral health care, they have presented Motivational Interviewing workshops to some 6 or 7 full dental practices in Ontario as well as to international dental organizations such as: The Irish Association for Disability & Oral Health; the Irish Dental Association; the Australian Association for Disability & Oral Health; the European Association for Dental Education; and the International Association for Pediatric Dentistry. Finally, they have published articles specific to the use of Motivational Interviewing in oral health care in Ontario Dentist journal and in SPECTRUM Dental Teamwork.
17:00 to 19:00
Nu Smile Lecture: The Pediatric Dentist Clinical Role in Endodontic management of Young Permanent teeth – Children Need your Skills, with Dr. Zafer Cehreli
Pre-Course Special Conference Fee: $49.00 plus HST, with Conference Registration
Dr. Zafer Cehreli is professor of Pediatric Dentistry at Louisiana State University School of Dentistry, and Hacettepe University Faculty of Dentistry. He has co-authored numerous peer-reviewed articles and textbook chapters, and has served as a reviewer or editorial board member to many international journals. He is an active member of the International Association of Paediatric Dentistry, American Association of Pediatric Dentistry and International Association of Dental Research, and is a director of the International Association of Dental Traumatology. Dr. Cehreli has received several national and international awards in research. His clinical and research interests include pediatric and adolescent esthetic dentistry, advanced restorative techniques, pediatric endodontics and dental traumatology. Dr. Cehreli’s lecture style is not only educational, but, also enjoyable, engaging and encouraging relating to the unique skills and abilities of the pediatric dentist specialist.
The Pediatric Dentist Clinical Role in Endodontic management of Young Permanent teeth – Children Need your Skills
Pediatric dentists are in a unique position to provide a wide range of easy and effective endodontic therapies that would otherwise result in early tooth loss or eventual failure of the interventive procedure. Endodontic treatment for open-apex immature permanent teeth often presents a unique challenge to the clinician.
This 2 hour presentation will review a wide spectrum of conventional and recent treatment options comprising apexogenesis, apexification, artificial apical barriers and management of post-traumatic inflammatory root resorption. The changing concepts in the management of young permanent teeth with irreversible pulpitis will be discussed in light of recent literature. The use of mineral trioxide aggregate (MTA) and other bioceramic materials will be reviewed on many long-term follow-up case presentations with different levels of endodontic involvement and hard tissue loss. Finally, current challenges in regenerative endodontic procedures will be discussed with emphasis on post-treatment tooth discoloration as well as clinician- and patient-based outcomes on many well-documented case presentations.
Upon completion of the Course, the clinician will have the knowledge and confidence to incorporate these endodontic procedures immediately into their practice.
Dr. John O’Keefe is Director, Knowledge Networks with the Canadian Dental Association. In this role he is responsible for CDA Oasis, where conversations that are important to the Canadian dental profession take place, and for the publication of the JCDA and CDA Essentials magazine.
He graduated as a dentist from the University of Dublin, in 1980, and obtained an M.Dent.Sc. degree from the same university in 1990. He is licensed to practice dentistry in Ontario. He has taught at both the University of Toronto and the McGill University dental schools. He has an MBA from Concordia University in Montreal.
Dr. O’Keefe has been chair of the communications committee of the World Dental Federation (FDI) and also president of the American Association of Dental Editors. He was senior staff lead for the project that led to the publication of “Dentistry 2032” by the CDA Task Force on the Future of the Profession.
“What got us here, won’t get us there”
The phrase in the presentation title captures the realization by the Board of the Canadian Dental Association (CDA) in 2016 that we as a profession had to take innovative proactive measures to help shape the future of our profession over the next 15 years. This realization led to the creation of a 25-person task force and the publication in April 2018 of “Dentistry 2032.” This report of the task force set out four vision statements for the Canadian dental profession for the year 2032, to be accomplished by the profession executing 28 recommendations.
In this presentation, Dr. John O’Keefe will highlight the measures that CDA has embarked on to execute 12 of the top priority recommendations and he will emphasize that collaboration will be the key to “getting us there” in terms of a healthy public and a strong profession by 2032.
09:00 to 10:00 Transitioning Special Needs Patients to Adult Practice, with Dr. Clive Friedman
Dr. Clive Friedman BDS Cert ped Dent., is a Graduate of the University of Witwatersrand South Africa. He received his specialty in Pediatric Dentistry from the University of New Orleans. Currently Clive is in part time clinical practice . He’s an Associate Clinical Professor at UWO and U of T, a Diplomate of the American Board of Pediatric Dentistry and a Fellow SCD. Clive was a past president of the ADPD, and iADH.
Currently sits on the International Clinical Council on FOP. He has lectured extensively both Nationally and Internationally with specific interest in Special Needs and Behavior.
This presentation will present the current models being used in Pediatrics to facilitate transfer and transitioning of individuals with special needs to an adult based practice. Issues specifically related to Dental and Oral Health will be discussed followed by a dialogue which will hopefully result in the creation of a document and forms that can be distributed to the CAPD/ACDP for use in each persons practice.
10:30-12:00 and 13:00 – 14:30 Assessing Pre-Apnea in the Child Dental Patient: Then What, with Dr. Kevin Boyd
Kevin Boyd, DDS, M.Sc. is a board-certified pediatric dentist practicing in Chicago. He is also an attending instructor in the residency-training program in Pediatric Dentistry at Lurie Children’s Hospital where he additionally serves as a dental consultant to the Sleep Medicine service.
Prior to completing his dental degree from Loyola University’s Chicago College of Dentistry in 1986, he obtained an advanced degree (M.Sc.) in Human Nutrition from Michigan State University where his research interests were focused on unhealthy eating, dental caries, obesity and diabetes. Kevin attended the University of Iowa for his post-graduate residency training where he received a Certificate in Pediatric Dentistry in 1988. Dr. Boyd has served on the teaching faculties of the University of Illinois College of Dentistry, the University of Michigan’s College of Dentistry, the University of Chicago Hospital, Rush Presbyterian-St. Luke’s Medical Center and Michael Reese Hospital as an attending clinical instructor.
He is currently completing pre-requisite course work in Biological Anthropology at Northeastern Illinois University in preparation for graduate study and research in the newly emerging discipline of Evolutionary Medicine. His clinical focus is centered upon prevention of oral and systemic disease through promotion of healthy breathing and eating; his primary research interest is in the area of infant/early childhood feeding practices and how they impact palatal-facial development, naso-respiratory competence and neuro-cognitive development. He is currently a visiting Scholar at U.Pennsylvania doing research in the areas of anthropology and orthodontics.
Assessment of Apnea/Pre-apnea in the Pediatric Dental Patient: Then What?
Specific Human Malocclusion (poorly aligned teeth and jaws) phenotypes are a common finding among children raised in industrialized societies. However, these HM traits are a rare finding in the pre-Industrial skeletal and fossil records, and seldom seen in extant (modern day) aboriginal societies who have not yet been (so-called) Westernized. Many children diagnosed with SDB/OSA have also been diagnosed with ADD/ADHD; certain HM phenotypes known to be (at least) co-morbid with, if not causally related to, development of SDB/OSA and ADD/ADHD, etc., are usually first detectable in very early childhood (primary dentition), and recent evidence suggests that they might even be detectable in utero (mid-gestaional ultrasound imaging). Changed dietary regimens associated with cultural industrialization during infancy/early childhood (i.e., nursing and weaning period) and beyond, seem to have played a role in the observed increased prevalence of skeletal-dental HM since the Industrial Revolution in Western Europe and North America from the late 18th- thru the mid/late-19th-Centuries.
Attendees will learn that:
1. Human malocclusion, now pandemic in industrialized cultures, is a relatively recent phenomenon in AMH’s, is associated with changed cradle to grave dietary strategies that are characteristic of cultural industrialization
2. Antecedents to Human Malocclusion can be initially detected in early childhood, and possibly also during fetal development
3. Early/very early detection of certain HM phenotypes, and appropriately timed and applied dento-facial orthopedic intervention, can decrease risk for developing comorbidities associated pediatric SDB/OSA, ADD/ADHD and other airway-related systemic disorders.
4. Non-retractive orthodontic/dentofacial orthopedic intervention strategies, such as bi-maxillary expansion with/without mid-facial protraction, have recently been shown to improve naso-respiratory ability in children with co-morbid retrusive and constrictive malocclusion who are in the primary or early mixed dentition (i.e., under 7 yrs old); interestingly, for mutual pediatric patients who suffered from habitual mouth-breathing and enlarged adenoids, some of these early intervention regimens had been effectively in use since the mid/late-19th Century per close collaboration between physicians and dentists
14:30 – 15:30 CPS Sponsored Lecture
Oral Health in Children with Complex Medical Needs, Dr. Anne Rowan-Legg
Dr. Anne Rowan-Legg graduated from medical school at McMaster University and then completed a pediatric residency at Dalhousie University in Halifax. Following her residency, she worked as a general pediatrician in Sydney, Cape Breton. Dr Rowan-Legg started at the Children’s Hospital of Eastern Ontario in 2009, and currently works on the Clinical Teaching Unit and in outpatient clinics, caring for children with complex medical needs. She also does a consultative pediatric outreach clinic in Renfrew Ontario. Her interests include: oral health for children and youth, caring for children from military families, and medical education. Dr Rowan-Legg served as a special advisor to the Canadian Paediatric Society on education and pediatrician engagement in the organization from 2015-2018.
16:00 – 16:45 Panel discussion on Infant Oral Tethered Tissue Surgery, with Drs. Anne Rowan Legg and Kevin Boyd. Dr. Clive Friedman will moderate.
09:00 – 10:00 The Science of Human Factors and Modern Dental Practice – Learning From Other Disciplines, with Dr. Kathy Momtahan
Dr. Kathy Momtahan worked as a critical care nurse for a decade after graduating from nursing school in 1976. She returned to school and obtained a PhD in Experimental Psychology from Carleton University in 1997, focusing on human factors in healthcare. She worked in the hi-tech sector as a human factors specialist for several years after graduating from her PhD program and then returned to the hospital environment in 2002 as a research lead at the University of Ottawa Heart Institute and then at The Ottawa Hospital. Kathy has published in healthcare, human factors and engineering journals and founded the Canadian Patient Safety Institute Healthcare Human Factors Network. She is currently does human factors consulting, having taken early retirement from The Ottawa Hospital.
The Science of Human Factors and Modern Dental Practice – Learning From Other Disciplines
This talk with provide conference participants with an introduction to Human Factors Engineering and Psychology, focusing on the topics that would benefit dental practice. Although there appears to be very little human factors research in the area of dentistry, much of the research and evaluation strategies that have been applied elsewhere in healthcare provide some insights into systems design, human performance, and optimal allocation of function between humans and machines that could be beneficial to the practice of modern dentistry.
1. Discover the relevance of the science of human factors engineering and psychology to modern dental practice.
2. Understand the contribution of human factors research and expertise to patient safety.
3. Gain insights into the interaction between human factors, human-machine interface design, information technology and workflow.
4. Identify human factors methods that can be applied to the evaluation of systems, technology and human performance in dental offices and operating rooms.
12:30 – 14:00 and 14:30 – 16:00 Applying Contemporary Behavior Science in Pediatric Dentistry Practice, with Dr. Barbara Sheller
Barbara Sheller is Chief of Pediatric Dentistry and a staff orthodontist at Seattle Children’s Hospital. Since 1987, she has practiced both pediatric dentistry and orthodontics at Seattle Children’s and nearly all of her patients have special health care needs. She is Affiliate Professor in both Orthodontics and in Pediatric Dentistry at the University Of Washington School of Dentistry and has held leadership and committee positions in organized dentistry locally and nationally. Dr. Sheller is a Diplomate of the American Board of Pediatric Dentistry and a Fellow of the American College of Dentists.
Her research and publications focus on dental trauma, caries emergencies, and dental management of children with special health care needs. Dr. Sheller is primarily a clinician and values educational programs that offer strategies and techniques to make quality dental care safer, smoother, and easier for children and adolescents, their parents, and the dental team. She strives to create and deliver presentations that blend scientific evidence with clinical experience and give course attendees practical tools to apply in their own practice.
Applying Contemporary Behavior Science in Pediatric Dentistry Practice
Course synopsis: this lecture will introduce attendees to the psychology behind successful non-pharmacologic behavior management. We can often help patients and their parents by what we say or don’t say, effective coaching, avoiding triggering the child patient’s survival brain reactions, and intentionally strengthening the social-emotional connection with our patients, parents, and team. This seminar is designed to be relevant to pediatric dentists of all experience levels and practice types.
Learning Objectives: After this lecture participants will:
1. Be introduced to emerging concepts in behavior science
2. Understand how components of the dental experience are processed within the various brain regions
3. Be more able to select effective countermeasures to challenging/distressed patient and parent behaviors
4. Be updated about current options for local anesthesia delivery
16:00 to 16:45 Homelessness and Health: Our Collective Responsibility, with Dr. Jeffrey Turnbull
Jeffrey Turnbull, MD, FRCPC
Medical Director, Ottawa Inner City Health
In addition to a BSc (University of Toronto) and a Masters Degree in Education (University of Western Ontario), Dr. Turnbull received his Doctorate in Medicine at Queen’s University and later achieved specialty certification in Internal Medicine through the Royal College of Physicians and Surgeons of Canada in 1982.
Dr. Turnbull has been the Vice Dean of Medical Education at the University of Ottawa (1996-2001), the President of the Medical Council of Canada (1998- 2001), the President of the College of Physicians and Surgeons of Ontario (2006-2007) and finally the President of the Canadian Medical Association (2010-2011).
Dr. Turnbull has pursued an interest in poverty and its effect on health nationally and internationally. He is one of the founders and is currently the Medical Director of Ottawa Inner City Health for the homeless which works to improve the health and access to health care for people who are chronically homeless. As well, he has been involved in education and health services initiatives to enhance community and institutional capacity and sustainable development in Bangladesh, Africa and the Balkans. He is the recipient of several national and international grants and awards, including the Order of Canada, the Order of Ontario, the Queen Elizabeth II Diamond Jubilee Medal and an Honorary Degree of Law from Carleton University.
In addition to being a specialist in Internal Medicine, Dr. Turnbull was the Department Chair of Medicine at The Ottawa Hospital and University of Ottawa from (2001-2008), the Chief of Staff at The Ottawa Hospital (2008-2017), and Chief, Clinical Quality for Health Quality Ontario (2014-2017). He also served as Senior Medical Officer for Correction Services Canada (2011-2014). He currently holds the position of Health Equity Clinical Lead at Health Quality Ontario. He remains committed as a medical educator with special interests in “Poverty and Health Inequity” and associated health policy.
Annual General Meeting
Additional Sponsors and Exhibitors will be noted, once confirmed
SPONSOR OF THE CONFERENCE REGISTRATION BAGS
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