Agenda

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08:30-09:00 Introduction from the Centers for Disease Control and Prevention

Refugee specific activities

09:00-09:30 Refugee Health Assessments

Regional specific activities, QC

09:30-10:00 Significant Medical Conditions and Medical Resettlement
10:00-10:30 PDMP and Surveillance
10:30-11:00 Coffee Break
11:00-12:30 Medical Movements/Aviation Medicine
11:00-12:30 Vaccination
12:30-13:30 Lunch
13:30-15:00 Medical Movements/Aviation Medicine [Repeat]
13:30-15:00 Vaccination [Repeat]
15:00-15:30 Coffee Break
15:30-17:00 Anemia
15:30-17:00 Dermatology
15:30-17:00 Pediatric Neurology
07:00-08:30 Registration
08:30-09:15 PL1: Opening Keynote - Migration 5 Health Working Group (M5HWG)
  • What is the Migration 5 Immigrant and Refugee Health Working Group?
  • Relationship and collaboration between IPPA and IRHWG
  • Purpose of immigration medical examination
  • Role of Panel Physician
09:15-10:30 PL2: Orientation and Pre-Test- International Panel Physicians Association
  • What is the International Panel Physicians Association?
  • Tools to enhance your training summit experience
  • How to access additional resources
  • Pre-Test
10:30-11:00 Coffee Break
11:00-13:30 A1: US Refugee Program

This session will cover the entire US Refugee Program and will be open to all panels who screen refugees. 

Objective: Cover all topics related to screening refugees for the US screening program. 

11:00-13:30 A2: Basic Approach to Radiology

The purpose of this session will be to educate participants about the following:

  1. The basics of chest x-ray technical considerations and limitations of the various techniques
  2. The common radiographic signs and findings in common medical conditions
  3. The benefits and limitations of chest radiography in tuberculosis including common findings in TB
11:00-13:30 A3: US Tuberculosis Technical Instructions and DOT

This session will provide an overview to the current Tuberculosis Technical Instructions for the US screening program which went into effect October 1, 2018. 

11:00-13:30 A4: US Mental Health

This session will cover the US mental health screening requirements. There will be cases included which will require participants to utilize their knowledge of the US mental health requirements. 

11:00-13:30 A5: Communication Skills and Resilience factors for working with migrants [Repeat B5]

This workshop will provide a case-based discussion where participants can share experiences and build their communication skills to support the health of migrants. This workshop is intended for any healthcare professional who want to understand how to communicate more effectively.

  • Define resilience and its essential factors, in the context of migration
  • Explore the role of trauma in human identity and resilience formation
  • Describe healing and the healing environment, across allopathic, traditional and holistic models
  • Identify key habits of highly humanistic health professionals
13:30-14:30 Lunch
14:30-17:00 B1: US Refugee Workshop

This session will cover the entire US Refugee Program and will be open to IOM only. 

Objective: Cover all topics related to screening refugees for the US screening program. 

14:30-17:00 B2: Advanced Radiology Cases

The purpose of this session will be to educate participants about the following:

  1. The clinical presentation of more uncommon forms of tuberculosis
  2. The x-ray manifestations of extrapulmonary tuberculosis
  3. The additional procedures and steps that may be necessary to further evaluate patients in the setting of more complicated radiographic findings
14:30-17:00 B3: US eMedical

This US eMedical Workshop is designed to inform panel physicians and radiologists who screen for the US about the US eMedical system for competing immigrant visa medical examinations. This workshop will provide relevant updates to date about US eMedical training and implementation for US panels sites. There will be a live demonstration of some components of the US eMedical system and participants will be encouraged to share their experience using the US eMedical system. Also participants will be able to ask questions about US eMedical. 

14:30-17:00 B4: US Immigrant Vaccination

This session will cover the US Vaccination Technical Instructions. The session will cover the current instructions and requirements as well as recent updates. Participants will be required to demonstrate knowledge of the Vaccination Technical Instructions to complete cases which will be shared with the group. 

14:30-17:00 B5: Communication skills and resilience factors for working with migrants [Repeat A5]

This workshop will provide a case-based discussion where participants can share experiences and build their communication skills to support the health of migrants. This workshop is intended for any healthcare professional who want to understand how to communicate more effectively.

  • Define resilience and its essential factors, in the context of migration
  • Explore the role of trauma in human identity and resilience formation
  • Describe healing and the healing environment, across allopathic, traditional and holistic models
  • Identify key habits of highly humanistic health professionals
19:00-21:00 2019 Intergovernmental Panel Physicians Training Summit Welcome Reception

Please join us for hors d’oeuvres and drinks. This is an excellent opportunity to meet and network with other attendees. All are encouraged to attend.

08:30-09:20 PL3: Migration and Health
  • Understand the social determinants of health within the context of global migration
  • Examine international, regional and national responses to migration and their impact on global health and development targets
  • Consider the role of research in supporting evidence-based health responses which strengthen the health of migrants  
09:20-10:30 PL4: New Multi-Drug Resistant Tuberculosis Treatment Guidelines

The purpose of this session will be to educate participants about the following:

  1. The epidemiology and risk factors for drug resistant tuberculosis
  2. The basic clinical approach to patients with suspected or confirmed drug resistant TB
  3. The common management issues that arise in patients with drug resistant TB
  4. The overview of the changes to treatment guidelines in the US.
10:30-11:00 Coffee Break
11:00-12:30 C1: Australia Update

This session will provide an overview of the current migration patterns to Australia and the most recent changes of Australian immigration policies in health. Participants will be updated on the latest changes to the Australian Panel Member Instructions and other related policy updates including eMedical. 

Session objectives include:

  • an overview of Australian migration
  • an understanding of the current panel instructions since its update in July 2018
  • eMedical updates
11:00-12:30 C2: Canada Specific Screening Requirements

This session is intended for panel members who screen for immigration, refugees, and citizenship Canada through an interactive approach. Participants will learn about Canada's requirements for Immigration Medical Exam screening for both immigrant and refugee populations. Updated Technical Instructions and requirements for panel member conduct will be reviewed. 

Objective: To provide panel members with Canada-specific technical instructions and expectations for professional conduct. 

11:00-12:30 C3: US Tuberculosis Technical Instructions Overview

This session will provide updates to the current tuberculosis techical instructions for the US screening program which went into effect October 1, 2018.

11:00-12:30 C4: Customer Service Delivery at the Panel Site [Repeat F3]

This session will help participants understand what quality customer service is and what it could potentially bring to a panel site. The core competencies of customer service from a panel site prospective, as well as from an applicant/client prospective. This session will be an interactive session (through group discussions/scenarios, group activities, and role play) to teach panels how to improve on customer service delivery so that the panel staff and the applicant/client has an enjoyable experience during their immigrant medical examination period. 

12:30-14:00 Lunch
14:00-15:30 D1: Panel Management and Governance

This session will provide panel physicians and clinic staff with principles in the management and governance of their clinics. Topics that will be covered will include strategies and ideas on quality improvement and processes, patient safety and clinic integrity. Participants will be able to take these concepts and apply them to their workplace. 

Session objectives include:

  • understanding of different concepts of quality
  • awareness of human factors in the provision of health care and how this impacts quality processes
  • recognising that building quality processes and assurance in their service also builds integrity
  • understanidng that all processes are client centered
  • the importance of feedback systems
14:00-15:30 D2: Exigences du Canada en matiere de depistage [En Francais]

Cette session s'adresse aux professionnels designes affectant le depistage pour Immigration, Refugies et Citoyennete Canada. En utilisant une approche interactive, les participants apprendront les exigences du Canada au sujet des examens medicaux aux fins d'immigration pour les populations immigrantes, et le groupe des refugiees. Les mises a jour des instructions techniques, et les exigences de conduite des professionnels designes seront revisees. 

Objective:

Offrir aux professionnel designes les instructions techniques specifiques au Canada, et les attentes en matiere de conduite professionnelle. 

14:00-15:30 D3: Immigration New Zealand Update [Repeat E3]
14:00-15:30 D4: Global Compact on Migration

The Global Compact for Migration is the first comprehensive agreement on migration developed through intergovernmental negotiations in the United Nations, making it an important new multilateral platform for action.

  • It provides a blueprint for how states can best manage migration and cooperate more effectively with one another – and a road map to get there. 
  • It represents an opportunity to improve the governance on international migration – and move away from reactive approaches. 
  • It recognizes the human rights of all migrants and are entitled to basic services and that they contribute to development, with all migration policy based on accurate data and evidence.

This presentation and discussion will outline how the GCM aligns with global and institutional frameworks and tools, specifically its relationship with the Sustainable Development Goals (SDGs). It will highlight the importance for panel physicians to be aware and knowledgeable on this new international direction and policy in the work they undertake and the manner in which they undertake it.

15:30-16:00 Coffee Break
16:00-17:30 E1: Australia TB Session

The Australia TB session will provide participants with an overview of Australia's most current TB guidelines with opportunity for case discussion.

Session objectives include:

  • Understanding of Australia's TB guidelines for diagnosis, treatment and follow up 
  • Gain confidence in managing TB cases
  • Awareness of the tests to raise/add in the IME for TB suspected/confirmed cases in eMedical
  • Basic radiology and the 502 exam
16:00-17:30 E2: United Kingdom Technical Instructions Update

United Kingdom Technical Instructions have been revised and this session will be an update. This will focus on the technical instructions as before and also highlight new changes. The session will be interactive and involve case discussions. 

16:00-17:30 E3: Immigration New Zealand Update [Repeat D3]
16:00-17:30 E4: IGRA-QFT Testing Validation and Quality Monitoring

This session will provide an overview of IGRA testing, validation, and quality monitoring. 

17:45-18:00 Group Photograph
08:30-09:20 PL5: Strengthening health systems to support tuberculosis control

This session will address challenges and solutions to strengthening health system capacity to support point of care diagnosis of drug resistant tuberculosis and drug susceptibility testing. 

09:20-10:30 PL6: Panel Physician Partnerships with National Tuberculosis Programmes

Panel Physicians will share their experiences in partnering with National Tuberculosis Control programmes in their countries to implement the Technical Instructions.

10:30-11:00 Coffee Break
11:00-12:30 F1: Clinical Cases [Repeat K1]

Clincal cases is a practical approach to cases where the participants will be presented with a range of real life cases ranging from routine to complex in nature. This session will look at the selected cases and navigate the components of the IME including history taking, client communication, legal considerations, and eMedical. 

Session objectives include:

  • in depth working knowledge of different aspects of the IME to be able to conduct a thorough, accurate exam
  • trouble shooting of complex cases
  • clarity in managing eMedical in more complex or outlying cases from routine
  • understanding the legal consideration in conducting an ImE in relation to duty of care and use of chaperones
11:00-12:30 F2: IOM Screening for Canada

This session is intended for panel members affiliated with the International Organization of Migration who screen for Immigration, Refugees and Citizenship Canada. In this interactive session, participants will increase their knowledge of the various screening and administrative requirements for Canada's Pre-Departure Medical Services. 

Objective:

To provide IOM panel physicians with specific information about screening and administrative requirements for Canada-bound refugees. 

11:00-12:30 F3: Customer Service Delivery at the Panel Site [Repeat C4]

This repeat session will help participants understand what quality customer service is and what it could potentially bring to a panel site. The core competencies of customer service from a panel site prospective, as well as from an applicant/client prospective. This session will be an interactive session (through group discussions/scenarios, group activities, and role play) to teach panels how to improve on customer service delivery so that the panel staff and the applicant/client has an enjoyable experience during their immigrant medical examination period. 

11:00-12:30 F4: IGRA Test Q & A [Repeat G4]
12:30-13:30 Lunch
13:30-15:00 G1: Communicable Diseases and the Immigration New Zealand Approach
13:30-15:00 G2: Health Assessments of UK-Bound Refugees

This session will provide an overview of the health assessment of refugees who are travelling to the UK. It will offer an opportunity to learn about the UK resettlement programmes, the refugee health assessment, and a space to ask questions, discuss and share practice. 

Objectives of the session are:

  • to provide an overview of the UK resettlement programmes and of the pre-entry protocol for UK bound refugees
  • to provide a summary of the findings of the health assessment of UK-bound refugees 
  • to offer a space for discussion and questions about the protocol 
13:30-15:00 G3: US Vaccination Case Studies

This session will cover the US Vaccination Technical Instructions. It will include the current instructions and requirements as well as recent updates. Participants will be required to demonstrate knowledge of the Vaccination Technical Instructions to complete cases which will be shared with the group.

13:30-15:00 G4: IGRA Test Q & A [Repeat F4]
15:00-15:30 Coffee Break
15:30-17:00 H1: Australia Refugee Update

This session will provide an overview of Australia's refugee and humanitarian policies, including any updates to the procedures in this area. Registrants will be able to gain understanding of Australia's Departure Health Check including medical escort procedures and opportunity for case discussion. 

Session objectives include:

  • an overview and update of the latest DHC instructions, including timing of the DHC 
  • understanding of raising a medical escort request
  • case based discussion in trouble shooting and managing refugee cases
15:30-17:00 H2: Canada Client Service and Panel Management

This session is intended for panel members who screen for immigration, refugees, and citizenship Canada. Using an interactive approach, participants will increase their knowledge about what Canada expects from its panel members with regard to client service as well as professional and personal conduct. This session will provide information about Canada's panel member designation process, handling of complaints, and expectations for client service and professional conduct. 

Objective: To provide panel members with information about Canada's expectations for client-service and professional conduct. 

15:30-17:00 H3: US eMedical

This US eMedical session is designed to inform panel physicians and radiologist who screen for the US about the US eMedical system for competing immigrant visa medical examinations. This workshop will provide relevant updates to date about US eMedical training and implementation for US panels sites. Participants will be able to ask questions about the system and also encouraged to share their experiences using the US eMedical system. 

08:30-10:00 PL7: Fraud -- A Reality within the Migration Program -- West Africa

Providing information on known fraud that exists within the migration program. Key challenges and solutions will be presented. 

10:00-10:30 Coffee Break
10:30-11:45 I1: Canada eMedical Specifics

This session is intended for panel members who screen for immigration, refugees, and citizenship Canada through an interactive approach. Participants will explore the fundamentals o fhow to properly submit medical information to Canada. This session will review Canadian-specific rules which need to be taken into consideration when performing immigration medical examinations. 

Objective: To provide panel members with key Canada-specific information for eMedical.

10:30-11:45 I2: Pre-entry and post-entry tuberculosis screening for UK migrants

The UK carries out pre-entry tuberculosis (TB) screening for individuals from countries with a TB incidence greater than 40/100,000 who apply for visas to come to the UK for longer than 6 months. We would like to look at UK pre-entry TB screening and its effects on TB numbers in the UK and the time of diagnosis since migration. A brief look at the newer national latent tuberculosis infection (LTBI) screening of a subset of migrants from countries with tuberculosis incidences greater than 150/100,000 in England only. 

The objectives is to show that pre-entry screening is having an impactt on number of TB cases diagnosed among immigrants within 1 year of arrival in the UK and thus the shifts in the median time from arrival to TB diagnosis in the UK by removing prevalent TB cases among migrants. Briefly look at the potential for LTBI screening and treatment to reduce the number of TB cases among migrants by reducing reactivation among LTBI infected individuals. 

10:30-11:45 I3: Quality Management Systems (QMS) in the Laboratory

This session will cover the following laboratory topics: setting up a TB lab at a panel site, specimen collection, and laboratory testing. 

10:30-11:45 I4: International Adoptees Session
11:45-13:00 IPPA Annual General Meeting [Members Only]
11:45-13:00 J1: Noncommunicable Diseases and the Immigration New Zealand Approach
11:45-13:00 J2: Post arrival of US Immigrants

This session will cover the post-arrival process which immigrants and refugees undergo once they arrive in the United States. 


The purpose of this session will be to educate participants about the following:

  1. The purpose of the overseas immigrant visa medical exam process
  2. The steps and parties involved when the immigrant arrives at the point of entry
  3. The procedures of the follow up examination stateside
11:45-13:00 J3: Stress Management 2.0

This session will help participants define burnout and how it can negatively affect productivity, level of clinical care, patient safety and the overall mental and physical health of healthcare professionals including, panel physicians and other health clinic staff. This session will be an interactive session (through group discussions/scenarios, group activities, and role play) to teach panels how to decrease and better manage stressors within their professional and personal relationships.

13:00-14:00 Lunch
14:00-15:30 K1: Clinical Cases [Repeat F1]

Clinical cases is a practical approach to cases where the participants will be presented with a range of real life cases ranging from routine to complex in nature. This session will look at the selected cases and navigate the components of the IME including history taking, client communication, legal considerations and eMedical. 

Session objectives include:

  • in depth working knowledge of different aspects of the IME to be able to conduct a thorough, accurate exam
  • trouble shooting of complex cases
  • clarity in managing eMedical in more complex or outlying cases from routine
  • understanding the legal consideration in conducting an IME in relation to duty of care and use of chaperones
14:00-15:30 K2: Panel Physician Experiences: Building Laboratory Capacity
14:00-15:30 K3: US Mental Health Case Studies

This session will cover the US mental health screening requirements. There will be cases included which will require participants to utilize their knowledge of the US mental health requirements. 

15:30-16:00 Coffee Break
16:00-16:30 Farewell Keynote
16:30-17:00 Certificate Ceremony