Continuing Medical Education Mainpro-C
Environment-linked Illnesses:
Prevention, Diagnosis and Management from
Preconception to Old Age
Friday March 6, 2015
Ontario College of Family Physicians
400 University Avenue, Suite 1700 (17A), Toronto, ON, M5V 1X2
Participants will be informed about the most common environmental exposures linked with illnesses in different age
groups. From case-based learning, they will be able to identify environmental red flags, and use practical tools to
further investigate, diagnose, treat and/or prevent.
AGENDA
Friday, March 6, 2015
8:30AM-9:00AM
9:00AM-1:00PM
Breakfast and Registration
Module 1: Pregnancy & Early Childhood Environmental Exposures:
Impacts, Prevention, Diagnosis and Management
Dr. Marg Sanborn
1:00PM-1:30PM
1:30PM-4:30PM
Lunch
Module 2: Common Chronic Illnesses and the Environment
Dr. John Molot
CREDITS
This program meets the accreditation criteria of the College of Family Physicians of Canada and has been accredited
for 7.0 Mainpro-C credits.
REGISTRATION
Registration Fee:
$200.00 per workshop
$350 if registering for both workshops
Registration Deadline: Thursday February 19, 2015 (or earlier if space is no longer available)
Environment-linked Illnesses:
Prevention, Diagnosis and Management from Preconception to
Old Age
Friday March 6, 2015
Module 1: Pregnancy & Early Childhood Environmental Exposures: Impacts, Prevention,
Diagnosis and Management
Dr. Marg Sanborn
Environmental exposures in preconception and during pregnancy are associated with many serious childhood conditions. In
addition, fetal exposures are now recognized to contribute to the development of adult diseases. The combined cost of
environmentally attributable disease is billions for Canada, and includes common conditions such as reduced IQ,
behavioural disorders, obesity and diabetes.
This module will focus on abnormal birth outcomes such as low birth weight, neurodevelopmental problems in the early
years, and conditions of immune dysfunction, such as allergies and asthma. The evidence for associations between
environmental exposures and poor health outcomes in early childhood will be reviewed. Effective tools for reducing
prenatal and early childhood exposures will be identified and used in small groups with clinical cases. Participants will be
able to assess and modify their current office tools for preventing and diagnosing environment-related illness in preconception, pregnancy and childhood up to age 4.
Learning Objectives
1. Recognize significant preconception and prenatal exposures and practice strategies for counseling in exposure reduction.
2. Identify four serious health effects in children up to age 4 that are linked to prenatal environmental exposures and what
to do about them.
3. Practice use of office-based tools to identify and reduce clinically important prenatal and childhood exposures.
Module 2: Common Chronic Illnesses and the Environment
Dr. John Molot
Almost 80 percent of Canadians over the age of 65 years have one chronic medical illness and approximately 70
percent of these people have two or more. The incidence of multi-morbid illnesses is increasing involving
cardiovascular, respiratory, endocrine, neurological and immunological systems, but only a small percent are
genetically predetermined.
The common pathophysiological mechanisms leading to multi-morbidity will be briefly reviewed, as well as the impact of
environmental exposures, diet, exercise and other multiple determinants of health. Clinical case examples will be used to
learn how to perform and integrate the environmental exposure history into routine office practice to identify and manage
patients at risk for chronic illness and multi-morbidity. Participants will also learn and practice specific evidence-based
strategies to motivate their patients to buy in to health-promoting lifestyle changes, such as environmental control,
improved diet, goal-directed exercise and stress reduction techniques.
Learning Objectives:
1. To list the commonly shared mechanisms of multi-morbid chronic illnesses.
2. To practise the exposure history to identify patients at risk, in order to prevent development of, and/or
manage multi-morbidity.
3. To integrate skills re lifestyle modification in the office to help patients initiate and maintain effective selfmanagement skills.
Environment-linked Illnesses: Prevention, Diagnosis and
Management from Preconception to Old Age
Friday March 6, 2015
 Module 1: Pregnancy & Early Childhood Environmental Exposures: Impacts, Prevention,
Diagnosis and Management 9:00AM-1:00PM
 Module 2: Common Chronic Illnesses and the Environment
1:30PM-4:30PM
Registration Information
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Registration Fee
Please check the course(s) you would like to attend:
 Module 1: Pregnancy & Early Childhood Environmental Exposures: Impacts, Prevention,
Diagnosis and Management 9:00AM-1:00PM
 Module 2: Common Chronic Illnesses and the Environment 1:30PM-4:30PM
One Workshop: $ 200.00
Two Workshops: $350
Registration Deadline: Thursday February 19, 2015 (or earlier if space is no longer available)
The OCFP reserves the right to cancel sessions due to unforeseen circumstances or insufficient advance registration. In the event of a cancellation
made by the OCFP, a full refund will be given to the registrants. However, the OCFP cannot accept responsibility for out-of-pocket expenses due to
cancellation of a session. Cancellations made more than 15 business days prior to the date of the event will be refunded, less a 25% administration
fee. No refunds will be provided after this deadline.
Please Send Completed Registration Form To: Ontario College of Family Physicians, Attention: Connie Ellison-Johnson
400 University Ave, Toronto, ON, M5G 1S5  Tel: 416-867-9646 Ext 19  Fax: 416-867-9990 Email: ocfpcme@cfpc.ca
A confirmation email will be sent within 2 business days of receiving your registration. If you do not receive confirmation, please contact us.