Meet the speakers

If you want to download all the speakers’ presentations, please download them here.


Javier Garcia Alegria
Patient Safety

The problems of quality of patient care cause significant morbidity and mortality in hospitals. There are efficient strategies to reduce safety problems in medical care. The objective of this presentation is to give practical recommendations to implement strategies of clinical safety in the departments of Internal Medicine.

 

Doug Altman
The quality of the Medical Research

There is growing recognition of widespread deficiencies in the methodology and reporting of health research. Major concerns are inappropriate study design, use of incorrect statistical methods, faulty interpretation (especially relating to statistical significance), selective reporting of research findings, and inadequate reporting of research that prevents readers using the information. I will discuss changes over time in the quality and reporting of medical research, summarise the current situation, and consider whether and how things may improve in the coming years.

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David O. Arnar
Transforming Genetic Data Into Better Health

While there has been an exponential increase in the number of published papers in genetic medicine in the last decade, the findings have not yet had the a large on the diagnosis and treatment of common diseases. There are a number of reasons for this but new methods in genotyping, such as whole genome sequencing, offer exiting new possibilities in this area. One of the biggest challenges in modern medicine is how we can begin to transform the results from genetic studies into better health. In this lecture some ideas on how to use genetic data in clinical care will be discussed.

 

Derek Bell
Acute Care – Where Next?

• Role of Acute Physicians
• Role of Acute Medical Units
• Integrated Services and quality

Wouter Bos
Society, changing expectations and how it will impact on you

Society changes and what society expects from medical professionals changes. It is in the interest of medical doctors to stay in the driving seat but that requires an open mind, a broad orientation towards the outside world and the willingness to get involved in issues and perspectives that are new to some of us.

Frank Bosch
Ultrasound in the coming years

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Antonio Countinho
An organism-centered view of organ-specific diseases

Medical education, thinking and practice may well provide the «organism-centered» perspectives and concerns that modern biology is still missing. All the more interesting to discuss the systemic bases of the so-called «organ-specific» diseases, particularly in the context of current medical sub-specialties.
Examples from immunology will constitute the basis for the argument.

Vincenzo Crupi
Red Pill or Blue Pill? Clinical Decision Making in Internal Medicine (Young Internists)

As contemporary cognitive neuroscience tells us, both ordinary and expert thinking is predominantly fast, heuristic, and fallible. Logical and optimal thinking, on the other hand, is typically slow and effortful, and comparatively rare. How these two kinds of processes intertwine in clinical reasoning? How can understanding the cognitive bases of medical practice improve healthcare outcomes?

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Jane Dacre
Education in 21st Century

Medical Education is crucial to the future of healthcare. As a discipline, it needs to keep up to date with research in medicine, and education.


 

Nitin Damle
Global Climate Change and Health

Dr Damle will speak on the evidence for global climate change and its health consequences. He will then outline strategies at a personal, local and national level to mitigate against the most significant health risk of the 21st century.
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Maria-Carlotta Dao

Microbiota and Obesity

Gut microbiota composition and function may be involved in the development of obesity and cardiometabolic disease.  At ICAN we are studying the relationship between gut microbiota, environmental patterns and cardiometabolic risk factors in obese populations.  Our aim is also to understand how elements from environment and microbiota could be modified to optimize response to weight loss interventions.  This research has potential applications in patient care, disease prevention and diagnostics
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Caterina Delcea
Global Disasters

 

Jaap van Dissel
End of life Decision Making Across Europe – A Debate

Microbial pathogens do not respect national borders and in the profoundly interconnected world of today high impact infectious diseases, even when occurring at the other side of the globe, have an immediate consequence to the public health and national security of your country. It is a great challenge to balance public health awareness and preparedness, with systematic surveillance of novel, emerging or reemerging infectious diseases, including animal infections, appropriate risk management and communication, and the ability to respond to such crises with disease control and containment.

 

Androulla Eleftheriou
Patient Advocacy

Expert Patient Advocates across diseases (especially those with chronic and rare diseases) have brought about dramatic advances in the quality of health and life of patients, internationally. However, it is evident that many patients and patient organizations are knowledgeable on their disease and care but there is a lack of knowledge on overarching health issues at the national, European and international level. The Thalassaemia International Federation (TIF) through its activities, strives to provide the tools for patients to become effective advocates.

Fabrizio Elia
Red Pill or Blue Pill? Clinical Decision Making in Internal Medicine (Young Internists)

As contemporary cognitive neuroscience tells us, both ordinary and expert thinking is predominantly fast, heuristic, and fallible. Logical and optimal thinking, on the other hand, is typically slow and effortful, and comparatively rare. How these two kinds of processes intertwine in clinical reasoning? How can understanding the cognitive bases of medical practice improve healthcare outcomes?

 

Matthias Hofer
Visions for Future Ultrasound Education in Europe

• Innovative teaching methods and educational approaches
• Didactic Skills trainings for ultrasound educators
• Quality control and assessment by standardized OSCE-Parcours
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Rose Anne Kenny
Cardiovascular Aging and the Brain

Ageing is associated with neural, vascular and hormonal changes which present as dysfunction in heart rate and blood pressure behaviour. Consequences are falls, orthostatic dizziness, episodes of transient loss of consciousness, cognitive dysfunction and mood change. These haemodynamic changes are particularly evident in response to physiological stressors such active standing. Speed of orthostatic heart rate recovery (HRR) and orthostatic blood pressure responses are important new modifiable biomarkers of vascular senescence. These responses will be discussed in the context of end organ damage and treatments.
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Jan Kimpen
Digitalization in Health Care

Patients will feel empowered to take control of their own life, including their disease, recovery and rehabilitation at home. They will demand participatory care. They will be enabled by digital solutions, as portals, apps, and their own health networks. In the meantime, payers will move to outcome related reimbursements and bundled payments, population health incentives, bonuses and penalties depending on quality of care, and will probably try incessantly to break down the silo’s, not only within the institutions, but also over the whole patient journey from home to hospital to home. Digitalization will enable this transition from pay-per-volume to pay-per-added value.”

 

Mark Kramer
Tacit Knowledge and Clinical Reasoning

Tacit knowledge is the unifying factor in evidence based medicine and clinical judgement. Appeal to the role of tacit knowledge in medicine provides a way to unify the tripartite definition of Evidence Based Medicine by Sackett et al: ‘the integration of best research evidence with clinical expertise and patient values’. Each of these three elements, crucially including research evidence, rests on an ineliminable and irreducible notion of uncodified good judgement.
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Marcel Levi
Internal Medicine in the 21st Century

Without exaggeration the current decades can be considered as the golden age of Internal Medicine. Due to very fast developing knowledge in fundamental sciences, such as molecular genetics, physics and cell biology, and translation of these insights into improved diagnostic and therapeutic modalities across the broad field of Internal Medicine, management of a wide spectrum of patients is rapidly improving. The big challenges for the next years in research, training and patient care will comprise of how we can continuously translate basic research findings into real advancements for our patients and how to mix subspecialty care with a general Internal Medicine background to address the fast growing patients group presenting with multimorbidity.


Andrea Maier
How to Become a Centenarian?

The science behind longevity is rapidly emerging. We all know that our diet is critical for a healthy long live and that sitting is probably the worst thing we can do. However, in the last two decades molecular mechanisms of aging have been identified that most possibly cause not only age related diseases but also physical and mental deterioration at old(er) age. Intervening in these mechanism prolongs (healthy) life up to one third in model organisms. First interventions in human are being developed.


Alberto Marra
End of life Decision Making Across Europe – A Debate


Pier Mannucci
How to write a winning grant application

This presentation offers a broad view on the principles for the development and presentation of research projects meant to obtain competitive funds. I shall briefly cover all the phases of grant application, starting from the identification of funding sources to the preparation of the project until its submission. I shall inform on how to grasp the basic concepts for a successful grant application; to develop a well-structured research plan, based upon gaps of current knowledge and endowed with a clear and verifiable hypothesis; to choose a suitable methodology to achieve it; to demonstrate that the proposal is innovative and has translational implications; and to accurately calculate costs in order to produce a meaningful budget.
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Nicola Montano
Choosing Wisely

The Choosing Wisely campaign, started in 2012 by the American Board of Internal Medicine, is spreding in several countries. The aim is to promote the discussion between physicians and patients, helping patients to choose a care supported by evidence, without collateral effects and really necessary. The secondary expected result from this campaign is to involve physician in the most appropriate use of economical resources, to communicate to public opinion that sometimes “less is better” and to reduce the use of tests and treatments when there is no a real need.
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 Montori  

Victor M. Montori
Patient Participation

Prof Montori will be discussing the challenge of caring for patients who live complex lives because of their personal and social situations and the accumulation of multiple chronic conditions. Proposing minimally disruptive medicine and shared decision making, Montori makes the case for careful and kind care.

 

Alexis Michael Mueller-Marbach
Abdominal problems, not to miss

Ultrasound has not only made a quantum leap in its technological capacities during the last decade, but has also become much more mobile with the development of small, even hand-held devices. Still, lacking accessibility to Ultrasound machines and deficits in training hinder its use as a standard tool for every internist.
In this lecture you will get a summary of the basics of abdominal ultrasound and how it is used in the internal medicine department in a German university hospital.
Selected case presentations of the most important diagnoses will be shown and discussed to highlight the possibilities of ultrasound for the modern internist, from bedside-Ultrasound with handheld-devices to high-end contrast enhanced Ultrasound.

 

 

Max Nieuwdorp
Microbiota and Diabetes

We have been mining the gutmicrobiota for therapeutic and diagnostic strains in diabetes mellitus by using fecal transplantation and found novel metabolite and bacterial leads that seem to be associated with pathophysiology of «both type 1 and type 2 diabetes»

 

Sigurdur Olafsson
Treatment as Prevention for Hepatitis C in Iceland – A National Elimination Project

Hepatitis C is a major cause of chronic liver disease in Europe. In Iceland, a nationwide effort has been launched where all patients with hepatitis C infection will be offered treatment using new directly acting antivirals. Aim of the program is to significantly reduce the rate of hepatitis C transmission and disease burden and possibly eliminate the disease in Iceland.

 

 

Runolfur Palsson
Education in a European Perspective

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Ramon Pujol
Continued Education

Internists have the obligation to maintain their competence throughout all their professional life.
Although the postgraduate training period is quite heterogeneous in Europe, the content of the programes and the methods of assessment are similar.
The situation in continuous medical education is different, not only between countries but also between institutions and doctors.
Are we able to define a core curriculum for continued education of European internists?
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Kyu Rhee
Changing Health through the Power of Cognitive

Dr. Kyu Rhee, Chief Health Officer of IBM Watson Health will discuss the rapidly changing healthcare landscape and the opportunity to use data analytics technology to develop innovative solutions for health care providers on both the clinical and administrative sides.  The explosion of data, coupled with the increasing use of the ‘Internet of Things’ are changing the ways doctors can help empower patients and impact healthcare outcomes.  Watson cognitive technology has the ability to understand, reason and learn and will provide opportunities to assist doctors improve health, and find new ways to help personalize and improve patient care.

 

Petra-Maria Schumm-Draeger
How to Treat Diabetes in the 21st Century

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Daniel Sereni
FDIME Research Grant

 

 

Suthesh Sivapalaratnam
Ecology of Internal Medicine Care

To know where you want to go, it is essential to know where you are coming from. In this talk I will discuss the different settings in which we as doctors in Internal medicine have worked, and who we have interacted with.
Question which I will address include how have we connected with patients in the past? And is that really different of what we want to do in the future? The main purpose is to set the stage for discussions on how and in which environment we will work in the future.
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Monique Slee-Valentijn
End of life Decision Making Across Europe – A Debate

 

Louis van Tilborgh
Vincent van Gogh: on the Verge of Insanity

We all know the tragic history of Vincent van Gogh. At the end of December 1888 he suddenly lost his mind, and although he came back to reality soon afterwards, for the rest of his life he would suffer from psychotic episodes. In spring 1889 he entered the asylum in Saint-Rémy, but left this institution the next year in order to live in Auvers-sur-Oise, near Paris, where he committed suicide at the end of July 1890. His illness was diagnosed as a kind of epilepsy at the time, but the discussion of its cause is still going on. But will knowledge of his illness help us art historians to understand his personality as an artist, and consequently lead to a better interpretation of his art? Some thoughts on this relevant issue.

 

Igor Tulevski
Heart Guard

HeartGuard is high quality healthcare on demand, independent of time and location. It prevents unnecessary visits to doctors and emergency rooms by constant monitoring of essential health parameters and timely recognition of trends:

1. Through wearables and apps patients can continuously monitor health data and send it to the data center. Software checks whether the measurements exceed personal thresholds.

2. If measurements are abnormal, triage through a standardized questionnaire will be executed and assessed by a cardionurse. If needed, medical advice is sent to the patient.

3. All data is stored in the digital patient file that is permanently worldwide available.

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Stephen Vreden
Denque, Chikungunya, Zika

Dengue, Chikungunya and Zika are just a few of the viral infections that are being transmitted to humans by Aedes species. Similarities and disparities of these infections, with special attention to epidemiology (why now?), clinical management and control challenges will be presented, ending with speculations on what virus (-es) may be next.

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Frauke Weidanz
End of life Decision Making Across Europe – A Debate

 Rudi Westendorp  

Rudi GJ Westendorp
Ageing People – Who is at Risk?

Old age comes with an accumulation of permanent damage that determines adverse outcome. Numerous comorbidity and frailty indices have been established to help with prognosis but these appear to have only little discriminative power. Demographic variables have the strongest power to predict mortality risk and provide arguments for medical decision making based on age and sex only.

 

Paul Wilson
Listen to Your Patient

In essence, internal medicine is storytelling: the creation and repeated adjustment by a clinician of individual stories which are based on observations, experience and scientific evidence. A major contributor to these stories is the patient. The importance of listening carefully to the patient will be illustrated by case reports.
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