___________________________________________Symposium Program
The IN-CAM Research Symposium will take place Saturday November 3 and Sunday November 4, 2012
Leslie Dan Faculty of Pharmacy, University of Toronto.
IMPORTANT ANNOUNCEMENT:
All abstracts for oral and poster presentations at the HomeoNet Forum (Nov 2, 2012) and IN-CAM Research Symposium (Nov 3 & 4, 2012) are now published in the Journal of Complementary and Integrative Medicine JCIM).
To download, go here:
http://www.degruyter.com/view/j/jcim.2012.9.issue-1/1553-3840.1669/1553-3840.1669.xml?format=INT
Detailed Symposium Program is now available. Click here to download.
The Symposium program includes: keynote addresses, workshops, research and poster sessions, and the IN-CAM Networking Reception (Sat. Nov 3).
New at the IN-CAM Research Symposium - Dr. Rogers Lunch and Talk
We are very pleased to announce a new feature of the Symposium program. To honor the late Dr. Roger Rogers, a standing “Dr. Rogers Lunch and Talk” will be incorporated into the Symposium program. This will be an invited talk by recipients of the Dr. Rogers Prize.
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Keynote Speakers:
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Dr. Claudia Witt, MD, MBA
Symposium Theme: Effectiveness
ABSTRACT: Comparative effectiveness research and the efficacy-effectiveness continuum in clinical research - learning from acupuncture research
To date, most clinical studies on complementary and integrative medicine have focused of the specific effects of single treatment components, although many traditional medical systems, such as Chinese medicine are “whole medical systems” following unique diagnostics and individualized complex therapeutic approaches. The current movement to more to Comparative Effectiveness Research (CER) in conventional medicine fosters the generation and synthesis of evidence that compares the benefits and harms of different treatments in a more realistic setting that is close to usual care. CER has considerable potential to help decision-makers to choose among currently available therapeutic options. Medical systems such as Chinese medicine are a particularly challenging field for CER, because they are often used for chronic diseases and numerous treatment regimens are available, and furthermore in usual care settings they are often combined with other conventional interventions. Whereas in most areas of complementary and integrative medicine data on comparative effectiveness is scarce, available acupuncture research already contributes to CER evidence. CER is an emerging field and its development and impact has to be reflected in future research on complementary and integrative medicine. Furthermore, there is an urgent need for methodological guidance for future CER on complementary and integrative medicine, especially for complex interventions and options for this will be presented.
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Barbara Findlay Reece RN, BSN
Symposium Theme: Integration
ABSTRACT: Cultivating Leaders: The Next Priority for Integrative Health Care?
Over the past 15 years, integrative health care has been quietly maturing in the shadow of a national health care crisis. Canada and other developed nations struggle to transform their health care systems in response to the shortfalls of provider-centric care models and disease-based medicine, but their progress is difficult to measure. On the other hand, concepts arising from the heart of CAM and integrative health including whole-person care, wellness orientation, healing relationship, mind-body practices, balanced lifestyle, and patient-expressed outcomes are emerging as effective, sustainable approaches in many environments. Could this uptake signal an evolutionary opportunity for integrative health care? With the right kind of support, is there increasing opportunity for savvy CAM professionals to move from discipline-specific leadership roles to broader health care system leadership? What if we have reached the tipping point and the principles of integrative health care practice have finally become relevant to the mainstream transformation process? If so, should leadership development become a focus for the next generation of integrative health care professionals? What competencies will be needed to operate in the broadest possible interprofessional environment? How might the missing competencies be acquired? What research efforts will be needed to support this emerging leadership role? Are we ready?
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Dr. Herb Emery, PhD
Symposium Theme: Health Economics
ABSTRACT: Should complementary and integrative health care services be included in Canada’s “Medicare Basket” of publicly funded services?
Since the introduction of the 1984 Canada Health Act (CHA), Canada’s provinces have had single payer, universal first dollar public payment for “medically necessary services” provided by a physician and/or in a hospital but medical necessity has not been defined by federal or provincial legislation beyond who provides a service and/or where the service is provided. The lack of more concrete criteria for defining “medical necessity” is posing a challenge to the public payers in Canada as there are increasing financial strains of paying for Medicare services under a somewhat open-ended definition of medical necessity, and there are growing calls from patients and voters to expand Medicare coverage beyond doctors and hospitals. To consider the inclusion of complementary and integrative health care services in Canadian Medicare we would need to reconsider the definition of “medical necessity” so that it is based on proven effectiveness, if not cost effectiveness, of services rather than who provides the service or where it is provided. Alternatively, if the CHA definition for “medical necessity” is retained, then we could broaden our criteria for defining provincial governments’ commitments for public coverage of health care services to include considerations like patient demands/preferences, cost, opportunity cost and economic efficiency to create “economic medical necessity” as a criteria for universal first dollar single payer public coverage of services. Both of these policy directions would move our Canadian Medicare from being an acute care medical treatment system towards being an ideal health care system.
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Dr. Heather Boon, BScPhm, PhD
Symposium Theme: Safety
ABSTRACT: Safety and CAM: Assumptions, Rhetoric and Reality.
The concept of a “safety culture” has become commonplace in institutionalized biomedicine, but is only recently being explored within the context of complementary and alternative medicine (CAM) practices and therapies. I will identify assumptions about the “safety” of CAM; challenge the rhetoric and highlight what we currently know with respect to risks and relative safety of CAM. Illustrative examples will include: advances in pharmacovigilance relevant to natural health products; challenges and opportunities arising from a study of the safety cultures of practitioners of spinal manipulative therapies and finally, the role of regulation (of both practices and products) in ensuring the safety of Canadians.
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New – Dr. Rogers Prize Lecture
To honor the late Dr. Roger Rogers, a standing “Dr. Rogers Prize Lecure” will be incorporated into the Symposium program. This will be an invited talk by recipients of the Dr. Rogers Prize.
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Dr. Marja Verhoef - Recipient of the 2011 Dr. Rogers Prize
ABSTRACT: Evidence-based CAM: Challenges and Opportunities
Whether Complementary and Alternative Medicine (CAM) approaches are based on scientific evidence is an important question. Is CAM evidence based? Should it be? Is it possible to obtain high level evidence for CAM approaches and systems? Such questions continue to be raised and discussed. Partly this is due to its complexity as CAM approaches often consist of multiple components, are individualized to specific groups of patients, and are contextually sensitive. The definition of evidence has expanded from “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” (Sackett et al, 1996) to “the integration of the best research evidence AND clinical expertise and patient values/preferences” (Sackett et al, 2000). This has broadened our understanding of the nature of Evidence-based CAM. This presentation will address the challenges and opportunities in evidence based CAM in health care practice and research, present arguments in favor and opposed to evidence- based CAM, and will identify methodological issues that need to be addressed in order to produce relevant and valid research evidence.
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Symposium Workshops
Workshop 1 – Research Corner – Designing CAM research studies (click here to view)
Led by: Sunita Vohra
Workshop 2 – Meditation – Research and Practice
Led by: John Vervaeke
Workshop 3 – From Vision to Reality: Preparing interprofessional teams to deliver integrative health care (click here to view)
Led by: Barbara Findlay-Reece, Dugald Seely, Laura Weeks and Teresa Tsui
Workshop 4 – Massage Therapy – Development of a national-level special interest group (IN-CAM SIG) to support research-informed massage practice (click here to view)
Led by: Ania Kania, Trish Dryden
Workshop 5 – Health Economics Evaluations in Health Care
Led by: Gabrielle Van der Velde
Symposium Schedule
Saturday November 3, 2012
8:00
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Registration & breakfast |
| 8:45 |
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Opening of the Symposium
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| 9:00-10:00 |
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Keynote Speaker - Dr. Claudia Witt
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| 10:00-11:00 |
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Oral research presentations
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| 11:11-11:30 |
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Nutrition break and poster viewing |
| 11:30-12:30 |
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Oral research presentations |
| 12:30-1:30 |
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Networking Lunch
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| 1:30-2:30 |
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Keynote Speaker - Barbara Findlay-Reece
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| 2:30-3:30 |
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Oral research presentations |
| 3:30-4:00 |
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Nutrition break and poster viewing |
| 4:00-5:30 |
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Workshops - IN-CAM & PedCAM |
| 5:30-7:30 |
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IN-CAM Networking Reception & poster viewing |
Sunday November 4, 2012
8:30
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Breakfast |
| 9:00-10:00 |
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Keynote Speaker - Dr. Herb Emery
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| 10:00-11:00 |
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Oral research presentations |
| 11:30-12:30 |
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Oral research presentations |
| 12:30-1:00 |
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Dr. Rogers Talks - Dr. Marja Verhoef
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| 1:00-2:00 |
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Networking Lunch |
| 2:00-3:00 |
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Keynote Speaker - Dr. Heather Boon |
| 3:00-3:30 |
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Closing of the Symposium |
The detailed Preliminary IN-CAM Research Symposium Program, including all keynote speakers, oral presentations, workshops and poster presentation will be available after August 15, 2012
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