National Rural Health Conference 2016 | 31 March

8.00am - 5.30pm	Conference registration desk open
	Meetings
8.30am - 1.30pm	Rural Hospital Medicine Forum and AGM Rural hospital medicines update Division of Rural Hospital Medicine AGM Venue: Fullwood room, Dunedin Centre
12.30pm - 5.00pm	RHAANZ Council Meeting Venue: The Terrace, Dunedin Centre
4.00pm	Kaumaatua Hui Venue: Fullwood room, Dunedin Centre
5.30pm - 7.30pm	NZRGPN Board Meeting followed by dinner at 7.30pm Venue: The Terrace, Dunedin Centre
	Workshops
1.30pm	Workshop one Trying to avoid it and then dealing with the consequences Contraception, mirena, and pipelle Helen Paterson with support from Bayer First antenatal consult Dr Celia Devenish Essential information required by both woman and doctor will be covered in this interactive presentation. The topics covered will range of models of maternity care available to pregnant women, Best Practice at this consultation, including newer fetal and maternal screening options in pregnancy, risk assessment of a pregnancy, dietary and lifestyle choices, and management of common presenting problems. Case histories will be used to illustrate the optimal individualisation of a woman's care in the context of their needs, with the opportunity for interactive discussion. Rationale of medical involvement in this important milestone in a woman's and future family's health will be also be discussed, and recognition of pregnancies at risk. Obstetric emergencies Dr Celia Devenish Venue: Conference room one, Dunedin Centre
1.30pm - 4.30pm	Workshop two Education for rural practice in rural practice Under grads and post grads / research Roger Strasser When compared to their metropolitan counterparts, rural practitioners may be described as "extended generalists". They provide a wider range of services, sustain a heavier workload, and carry a higher level of clinical responsibility in relative professional isolation. Research evidence shows that the three factors most strongly associated with entering rural practice are: 1. a rural background; 2. positive clinical and educational experiences in rural settings as part of undergraduate medical education; 3. targeted training for rural practice after graduation. Drawing on this evidence, rural education pathways have been developed to maximize potential recruitment into rural practice. Evaluation of rural clinical attachments has demonstrated that the rural setting provides a high-quality clinical learning environment which is of potential value to all medical students. Specifically, rural clinical education provides more "hands on" experience for students such that they are exposed to a wide range of common health problems and develop a high level of clinical competence. This workshop will explore models of rural based medical education at both the undergraduate and postgraduate levels to provide a context for interactive discussions which explore the principles and practice of education for rural practice in rural practice. The workshop will conclude with a summary of the important enablers of success in implementing rural education pathways. Venue: Conference room two, Dunedin Centre
9.00am - 5.30pm	Workshop three Nurses/multidisciplinary training session Jean Ross Otago Polytechnic School of Nursing invites you to a free symposium for rural nurses, learning in the 21st Century. Come and see new ways, up skill, meet and share with colleagues and friends. For more information please click here Note: this is to be held at Otago Polytechnic School of Nursing Refreshments and lunch are provided Free of charge Venue: Otago Polytechnic School of Nursing, Forth Street, Dunedin
1.30pm - 3.30pm	Workshop four Taking a sample patient on a journey through heart disease Facilitated by Fraser Hamilton, The Heart Foundation Note: Case based workshop open to all GPs RISK ASSESSMENT There will be significant changes to the landscape this year with the removal of More Heart and Diabetes Checks as a Health Target. How can we build on the work done making CVRA sustainable? The current calculator is overestimating risk and will likely be replaced this year. We will discuss the background of these changes and how it will impact practice, plus look at the current worldwide recommendations for treatment decisions based on risk and discuss whether New Zealand guidelines need addressing. RURAL STEMI CARE The importance of early diagnosis, and early reperfusion. SECONDARY PREVENTION Nearly half of the admissions this year with a cardiac event will occur in people who have previously had an event. We know that a significant proportion of patients do not maintain medication and positive health behaviours a few months after heart attack. What is the current best practice for Secondary prevention? CARDIAC REHABILITATION What does Cardiac Rehab look like? What can rural General Practice be expected to provide? ATRIAL FIBRILLATION Roughly a third of patients with AF are on appropriate anti-coagulation. Is Atrial fibrillation being undertreated? What is the place of the Novel Non Vit K anticoagulants? HEART FAILURE Tools for diagnosis, and emerging therapies. Venue: Fullwood room, Dunedin Centre
1.30pm	Workshop five Making health and safety simple on the farm Facilitated by Al McCone, WorkSafeNZ Agriculture Programme Manager Each year, around 20 people die in on-farm work related incidents. Thousands more (about 1 in 6) have medical attention leading to an accepted ACC claim. In addition, an estimated 60-90 persons die of illness related to agricultural workplace activity. This does not count those who attempt self-harm. The impact on families, communities, and the sector as a whole is significant. WorkSafeNZ, along with ACC, have designed and implemented the 'Safer Farms' programme to introduce a suite of interventions designed to reduce the injury toll on farms. These interventions are being introduced over a period of several years. During 2016, the emphasis will be on building awareness, building leadership across the sector, and building capability within the sector. 2016 also marks the introduction of the Health and Safety at Work Act 2015, which aims to be more accessible than previous legislation. WorkSafe believes health and safety on the farm is not an onerous task and can be met through a number of simple steps. The requirements of farmers when implemented will have a positive effect on both injury rate and business productivity. This interactive workshop covers the scope of health and safety damage in the agricultural sector, the nature of planned interventions, and seeks answers to questions on further interventions, building capability and supporting and encouraging rural community leaders to stand up. We aim to bust a few myths, and to encourage and support health professionals who are willing to stand up and lead the way in lowering the toll. Venue: Chesters Lounge, Dunedin Centre

7.00pm	Doctors' and nurses' dinner

Day one

7.30am – 6.00pm	Registration desk open
8:30am	Official conference opening Mihi Whakatau
9.15am	Keynote address Distributed community engaged learning: Social accountable education in Canada's rural north Roger Strasser
10.00am	Morning tea
10.30am	Minister of Health
10.45am	Keynote address The Importance of Simple Steps in Complex Times Nigel Latta
11.30am	Concurrent session 1
	1A	1B	1C	1D	1F	1G
	Think not what you can do for Work and Income, but rather what can Work and Income do for your patients? David Bratt, Ministry of Social Development	Freetown 2015: Social response and direct care provision during the Ebola pandemic Ryan McLane, Ministry of Health	TeleHealth - Enabling better access to HealthCare services Kyle Ford and Dr Jon Garrett, WellSouth Primary Health Network, Joe Cain, Philips Healthcare	Surge Capacity Demands – '0-100km in 60 seconds' Rhonda Johnson and Debi Lawry	Avoiding pitfalls: Diagnostic difficulties and dilemmas in acute maternity presentations Dr Celia Devenish	Diabetes workshop part 1: Starting insulin in primary care Patrick Manning
12.10pm	Concurrent session 2
	2A	2B	2C	2E	2F	2G
	What's new on offer? Ambulatory services, day case procedures and HPV screening into the future Dr Celia Devenish and Rachael McConnell	Inflammatory, irritable or malignant (the bowel not the speaker) Jason Hill, Southern DHB	Foundation standards Kaylene Holland, WellSouth Primary Health Network	Myth busting and midwifery: the lived experience of providing remote rural maternity care in a changed maternity environment Emma Bilous, School of Midwifery, Otago Polytechnic	Entry to exit - the succession planning conversation Richard Adamson, Bank of New Zealand	Diabetes workshop part 2: Diabetes complications Patrick Manning
12.50pm	Lunch
1.00pm	RNZCGP Rural General Practitioners' Chapter AGM Glenroy auditorium
1.50pm	Concurrent session 3
	3A	3B	3C	3D	3E	3F
	Renal function Rob Walker	Challenges of dermatitis Dr David Young	Career Planning for students: Future possibilities in rural health Panel discussion Panelists: Brendan Marshall, Gemma Hutton, Margo Roxburgh	What happens when you delegate the distribution of rural funding to Clinicians? Paul Rowe and Bridget-Mary McGown	What is the role of rural general practice in reducing avoidable perinatal and maternal mortality? Lessons from the Perinatal and Maternal Mortality Review Committee Alison Eddy, New Zealand College of Midwives	A new model of care for General Practice - A Nurse Practitioner and a Primary Health Care Nurse... it works!! Tania Kemp, Pleasant Point Medical Center Chris Chamberlain
2.30pm	Concurrent session 4
	4A	4B	4C	4D	4E	4F
	Reconfiguring the doctor-patient environment in musculoskeletal pain; what you say, matters Dr John Petrie	Results of a primary care based, nurse-delivered, cardiovascular disease medication health literacy intervention trial for Maori people with cardiovascular disease Dr Sue Crengle	Lost in Translation? Developing a rural integrated health centre in Golden Bay Struan Clark, Golden Bay Community Health	When is an ED not an ED? Buzz Burell, Renwick Medical Centre	Smoking Cessation – an integrated model of care Christine Brears, Piki Taiaroa, Toni-ann Beekmans, Vida Tangihaere, Taumarunui Community Kokiri Trust	Improving Outcomes in Diabetes Care in Rural New Zealand Sharon Sandilands, Central Otago Health Services Ltd Patrick Manning
3.10pm	Afternoon tea
3.10pm	Rural nursing discussion- rural pilot research project Extended Glenroy Foyer
3.45pm	Keynote address Midwifery- providing an integrated maternity service Norma Campbell, Midwifery & Maternity Provider Organisation Ltd
4.30pm	Keynote address Unlearning our privilege as a loss: from integration to Whanau Ora Donna Matahaere-Atariki
5.15pm	Awards Ceremony Presentation from Gemma Hutton
6.00pm - 7.00pm	Welcome reception
7.30pm	Student dinner

Day two

8.00am - 5.30pm	Registration desk open
6.30am - 8.00am	Pat Farry Trust fun run and walk (race briefing at 6.30am) Starting/finishing at the Railway Station, Anzac Ave Register here
8.30am - 9.25am	Breakfast sessions Aortic Stenosis; diagnosis, treatment options and the need to refer early Dr. David Smyth, Clinical Director of Cardiology at Christchurch Hospital Hosted by Edwards Transcatheter Heart Valves, New Zealand			Implementing virtual consults (video) in general practice Sanjeewa Samaraweera Hosted by Medtech Global
9.30am	Keynote address One World: One Health: One Life: One Chance Alison Dewes
10.15am	Keynote address Family violence in a rural setting Lesley Elliott
11.00am	Morning tea
11.30am	Concurrent session 5
	5A	5B	5C	5D	5E	5F RHAANZ
	Mental health	Acute Coronary Syndromes diagnosis and management Belinda Green	Investing Ideas for a Healthy Portfolio Sue Stewart, MFAS	Structure, Organisation, and Services of Rural and Urban General Practices Susan Dovey, University of Otago	Models of care as it applies to South Westland Gemma Hutton	Marketplace Dr Jo Scott-Jones
12.10pm	Concurrent session 6
	6A	6B	6C	6D	6E	6F RHAANZ
	Registered nurse prescribing Pam Doole, Nursing Council of New Zealand	Nausea & Vomiting: managing a common symptom without becoming sick to your stomach Amanda Sommerfeldt, Southland Hospice	Transport problems and solutions Mike Hunter	Patient portals and e-therapy in rural health Sanjeewa Samaraweera, Medtech Global	Abstract presentations - Rural inequalities Presentations from Dave Fearnley, Jenn Keys and Steve Hoskin	Animals, humans, environment: All roads intersect in rural health Dr Mark Bryan, New Zealand Veterinary Association
12.50pm	Lunch
1.00pm	RHN AGM - Lunch Conference room 1
2.00pm	Keynote address Aid in dying in New Zealand Matt Vickers
2.45pm	Concurrent session 7
	7A	7B	7C	7D	7E	7F RHAANZ
	Managing alcohol and drug addiction in a rural area Marian Scanlan and Greville Wood, West Coast District Health Board	Community based attachments in prevocational training Prof Felicity Goodyear-Smith and Mr Elwyn Eastlake	Education/ up-skilling for nurses and registrars Garry Nixon, University of Otago and Tracey Reid	Cxbladder: New tools to aid in the diagnosis and management of bladder cancer Brent Pownall, Pacific Edge Diagnostics	Models of care Dr Pragati Gautama	End of life care panel discussion Chair: John Ayling Panelists: Matt Vickers, Helen Sawyer and Grant Gillett
3.25pm	Afternoon tea
4.00pm	Keynote address Telehealth and rural broadband – what's been achieved and the next big things Craig Young, TUANZ and Andrew Slater, Homecare Medical
4.45pm	Keynote address Hot issues in rural 'The Dunedin Declaration' Chair: Bill Nathan
5.30pm	Conference close
6.00pm	NZRGPN AGM
7.30pm	Medtech conference dinner combined with the wine, adventure and art auction Sponsored by Medtech Global and in association with the Pat Farry Rural Health Education Trust

Day three - Kingsgate Hotel

9.00am - 12.00pm	Network breakfast forum
10.00am - 12.00pm	Student breakfast forum

Conference presentations

Keynote presentations (in programme order)

Concurrent presentations (in alphabetical order by first name)

Pre conference

Meetings

Workshops

Day one

Day two

Day three - Kingsgate Hotel