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BMJ Masterclass for Physicians: Respiratory Medicine 2010

0820-0920 REGISTRATION AND REFRESHMENTS
0920-0930 Welcome and introduction by the Chair

Professor Wisia Wedzicha
Editor in Chief, Thorax, and Professor of Respiratory Medicine, UCL Medical School, London
0930-1015 Chronic obstructive pulmonary disease (COPD): management and prevention of exacerbations
COPD exacerbations are common and lead to considerable morbidity, mortality, and hospital admissions. This session will review:
  • The differential diagnosis of breathlessness in patients with COPD including exacerbation
  • Evidence-based management of a COPD exacerbation
  • The importance of identifying the “frequent exacerbator” phenotype
The speaker will give a practical guide to interventions that reduce the frequency of exacerbations.

Dr John Hurst
Clinical Senior Lecturer, UCL Medical School, and Honorary Consultant, Royal Free Hampstead NHS Trust, London
1000-1045 Home oxygen therapy
Home oxygen therapy is one of the few interventions that reduces mortality in COPD and other respiratory conditions. This session will provide an update on:
  • Indications of home oxygen therapy
  • Benefits and provision of ambulatory oxygen therapy
  • Organisation of home oxygen services.
Professor Wisia Wedzicha
Editor in Chief, Thorax, and Professor of Respiratory Medicine, UCL Medical School, London
1045-1105 REFRESHMENTS
1105-1150 Models of care for patients with chronic obstructive pulmonary disease (COPD)
Patients fear exacerbations, dependency and hospitalisation, which are also a major source of expense for healthcare systems. This session will review safe and cost effective models of care including:
  • Assisted discharge
  • Admission avoidance schemes
  • Self management.
Professor Martyn R Partridge
Professor of Respiratory Medicine, Imperial College London, NHLI Division at Charing Cross Hospital, London
1150-1235 Management of patients with severe asthma
Patients with severe and difficult asthma have continuing symptoms despite treatment with high dose inhaled steroids and longacting beta 2 agonists. These patients suffer both from their disease and the side effects of treatment. The speaker will highlight the importance of:
  • Actively seeking comorbid conditions
  • Maximisation of inhaled corticosteroids and other treatments
  • The use of anti-IgE treatment and immunosuppressant agents
  • Emerging drugs.
Professor Neil Barnes
Consultant in Respiratory Medicine and General Medicine, Barts and the London NHS Trust, London
1235-1335 LUNCH
1335-1420 Sponsored symposium - further information to follow shortly
The symposium will focus on a topic relevant to the programme and will be presented by an expert speaker.

BMJ Masterclasses work with appropriate sponsors, including pharmaceutical companies, under the principles of transparency, probity and editorial independence. Read the sponsorship guidelines
1420-1505 Venous thromboembolism
Venous thromboembolism continues to present challenges of diagnosis and management and recent audit confirms that much practice in the UK remains unsatisfactory. This session will cover current best practice in both of these areas based on the latest evidence.

Professor Paul Corris
Professor of Thoracic Medicine, Institute of Cellular Medicine, Newcastle University, Newcastle
1505-1525 REFRESHMENTS
1525-1610 Pneumonia
The speaker will discuss topical aspects in the management of adult community acquired pneumonia focused on the new 2009 British Thoracic Society guidelines. The session will also cover:
  • Aetiology
  • Severity assessment
  • Appropriate antibiotic therapy to include both benefits and harms such as C difficile infection.
Dr Mark Woodhead
Consultant in General and Respiratory Medicine, Manchester Royal Infirmary, and Honorary Senior Lecturer, University of Manchester, Manchester
1610-1655 Management of acute on chronic respiratory failure and use of home ventilation
Non-invasive ventilation has proved to be a major advance in the management of patients with respiratory failure. This session will deal with:
  • Its use in patients who might present on an acute general medical take
  • The appropriate use of oxygen
  • Which patients should be considered for domiciliary ventilation after an acute admission.
Dr Mark Elliott
Consultant in Respiratory and General Medicine, St James’s University Hospital, Leeds
1655-1700 SUMMARY AND CLOSING REMARKS

PROGRAMME SUBJECT TO CHANGE

ALL CONTENT HAS BEEN REVIEWED BY THE EDITOR