Dr. Liesl Roome

Specialty:

Family Medicine, Chronic Pain

About The Speaker

Dr. Liesl Roome, a physician at myoClinic Brentwood Bay, brings a wealth of experience to the realm of pain management. Graduating as a general practitioner in South Africa in 1999, she relocated to Canada in 2013, initially working in a busy family practice.

Her focus shifted in 2015 when patient demand led her to explore trigger point injections and myoActivation, a technique developed by Dr. Gregory Siren. Impressed by the immediate positive impacts on pain and mobility, she pursued dedicated training, under the guidance of Dr. Siren, and ultimately joining him at his clinic in Victoria.

In 2017, Dr. Roome transitioned full-time to pain management, recognizing the critical need for effective chronic pain solutions. At the myoClinic Brentwood Bay, she provides specialized care to patients referred from across Vancouver Island. Additionally, as a faculty member of The Foundation of Anatomic Medicine, she contributes to physician education, including the development and instruction of a novel approach to constant pain management.

Drawing from both professional expertise and personal experience with chronic pain, Dr. Roome offers a balanced and informed perspective on pain relief and improved quality of life.

Dr. Mitchell Shulman

Specialty:

Emergency Medicine

About The Speaker

Dr. Mitch Shulman (or “Dr Mitch” as he’s known to those who follow him on radio, TV and in print) has always loved teaching. He’s an Associate Professor in the Department of Emergency Medicine at McGill and an attending physician in the emergencies of the 2 campuses of the McGill University Health System teaching medical students and residents. He has presented at McGill’s Thursday Evening Lecture series and its Lunchtime Webinars, at the McGill Refresher Course for Family Physicians and at many other professional meetings. He’s an ACLS Master Instructor. He’s also actively engaged in educating the public. He appears daily on Bell Media Radio, weekly on Global TV’s, Montreal This Morning and is an award-winning columnist with a weekly column in the largest English language weekly in Quebec, The Suburban. He volunteers his time speaking at many charitable events.

After completing his undergraduate training at Harvard, he came back home to Montreal to attend McGill Medical School and then did a residency in Emergency Medicine (where he was Chief Resident). He was among the first Royal College certified Emergency Medicine specialists (1983) and served as an examiner for the Royal College. He was acting Director of the Emergency Department and served as its Research Director. He’s been a community doc and an occupational health physician. Currently, as well as his emergency department clinical responsibilities, he also serves as a medical scientist on an ethics review committee and works at the McGill Student Health Center. His commitment to his community runs deep. He was its Medical Director responsible for First Response and coached hockey to the Junior level. He still refs local ice hockey and plays. His philosophy on teaching has always been that we all have valuable knowledge to share and so he sincerely looks forward to hearing from you as we share the learning at this Sea Courses event.

CME Topics

Emergency Medicine and Pain Management

Dr. Roome-

• Introduction to trigger point injections, (and what is myoActivation)
  • Know what trigger point injections are and what ‘myoActivation’ method is
  • Get comfortable needling and be safe (practice session on pototatoes first? )
  • Possible side effects / risks
• The myofascial system
  • Understanding the 3-dimensionality of fascia and how it functions
  • Understand the role of scars in myofascial dysfunction, feel confident in releasing scars
• What can you treat using trigger point injections? Constant Pain vs pain with movement
  • Start to see the bigger picture that a diagnosis does not mean there’s nothing you can do to improve symptoms
  • Be able to recognise myofascial components contributing to symptoms

• Legs
  • Understand approach to lower legs
  • Understand approach to upper legs
• Back
  • The principle of antagonism
  • Be able to test the hips
• Neck
  • Have an approach to constant pain in the neck
  • Have an approach to pain in the neck with movement.
• Head
  • Have an approach to headaches/facial pain
  • Have an approach to migraine
• Bringing the myofascial system into your differential
  • Have an approach to constant pain in the shoulder/ arm/ hand
  • Thinking ‘out the box’ and having an open mind to myofascial elements causing part of the symptomatology.

Dr. Shulman-

• Concussion: It’s Not Just About Athletes
  • Understand the causes and pathophysiology of concussion
  • Develop an understanding of the situations where concussions can occur without direct trauma to the head
  • Review / understand the logic behind the guidelines on management of concussion and how to apply them
• Office Emergencies: Do You Know What To Do?  
  • How to deal with medical emergencies (such as syncope)
  • How to stock / equip your office for emergencies
  • How to prepare for disruptions to your practice caused by natural and man-made disasters
  • How to protect your patients and staff
• Dr Google Says…. A guide to how the Internet and social media can affect your practice of medicine
  • Identify how patients use the internet
  • How you can use the Internet safely and ethically in your practice
  • Explore the laws relating to and learn how best to handle being recorded and recording your own patient interactions
  • Some interesting medical stories from the Internet
• Managing Pain in the Emergency Room: Useful tips that you can apply elsewhere too!
  • A structured approach to manage patient pain
  • Understand why it's important to manage patient pain
  • How to manage the pain without medications
  • How to safely and effectively use pain medications
• Basic & Advanced Cardiac Life Support:  Latest  Updates: What Do They Mean For Me and My Patients? 
  • Review the BCLS and ACLS algorhythms and the most recent updates
  • Understand the algorhythms
  • Review how to practically apply them
  • How our experience with Covid-19 has modified our practice
• ENT Emergencies: From Nose Bleeds To Orbital Cellulitis: What You Need to Know to Handle Common and Uncommon ENT Emergencies
  • Review some common and some rare but serious ENT Emergencies
  • Focus on serious complications and diagnoses that you must not miss
• Emergency Procedures For Non-Emergency Docs: Tricks to Help You Manage The “Crashing” Patient
  • How to do venous cut-downs and intra-osseous lines
  • Common problems using chest tubes
  • How to use glue safely and effectively
  • How to get extra doses of adrenalin from an Epipen
• Managing COPD in the ED: Information that will help in your office too!
  • At the end of this session participants will:
  • Have a more complete understanding of the significance of the disease
  • Be able to managing it more effectively
  • Understand and be able to apply logical and safe criteria for admission and discharge
  • Be able to minimize COPD exacerbations/recurrences