2018 PRA Annual Meeting

Theme: Rheumatology PRIME

Partnerships and Real-time Information in Management Excellence
February 15-17, 2018 | Crowne Plaza Manila Galleria, Ortigas, Pasig City

February 15, 2018 | Pre-Convention

Time TRACK: RHEUMATOLOGY WORKSHOP FOR NURSES TRACK: RHEUMATOLOGY MADE SIMPLE

Moderators: Dr. Andrei Rhoneil M. Rodriguez Moderators: Dr. Michael Thomas E. Salvador
Dr. Jerisa De Jesus-Vinluan Dr. Esther C. Maderazo
0800
1600
REGISTRATION FOR WORKSHOPS / CONVENTION
0800 OPENING REMARKS / WORKSHOP OVERVIEW
0815 Speaker:

0815 WHAT RHEUMATIC DISEASES REQUIRE INFUSION THERAPY

0845 Speaker: Dr. Jonathan Paul C. Consignado
Session Objectives:
1. Introduce the subspecialty of Rheumatology to nurses.
2. Describe the role of nurses in the subspecialty
a. infusion nurse
b. joint assessors
c. nurse educators
3. Briefly describe the diseases (definition, clinical presentation,
some images and prognosis) that require infusion therapy.

0845 REVIEW OF THE RHEUMATOLOGY ARMAMENTARIUM: TRADITIONAL

0905 THERAPIES
Speaker: Dr. Ana Teresa S. Hernandez
Session Objective:
Describe and discuss the use, indications and safety of the following:
a. Steroid pulse therapy
b. Cyclophosphamide pulse therapy
c. Zolendronic acid
0905 REVIEW OF THE RHEUMATOLOGY ARMAMENTARIUM: BIOLOGIC
0945 IMMUNOTHERAPIES
Speaker: Dr. Ana Kristina Gutierrez Rubio
Session Objective:
Describe and discuss the use, indications and safety of the following
biologic agents:
a. Anti-TNFs (etanercept, infliximab, adalimumab)
b. Rituximab
c. Tocilizumab
d. Secukinumab
e. Tofacitinib (should we include? This is ORAL)
f. Belimumab

0945
COFFEE / TEA BREAK (40 PERSONS)
1015
1015 WORKSHOP ON CYTOTOXIC AND BIOLOGIC THERAPY PREPARATION
1045 AND INFUSION PART 1
1045 Speakers: c/o Pharma
1200 Session Objectives:
1. Demonstrate various preparations and the mode of delivery of
various biologic therapy (prefilled syringes vs. IV infusion) TRACK: RHEUMATOLOGY MADE SIMPLE
2. Discuss requisites prior to biologic therapy use (i.e. baseline
laboratory exams) Moderators: Dr. Michael Thomas E. Salvador
3. Discuss patient monitoring during biologic therapy Dr. Esther C. Maderazo
1200
1300
LUNCH (GOOD FOR 140 PERSONS) - PRA
1300 1300 – 1430H OVERVIEW: APPROACH TO ARTICULAR AND MUSCULOSKELETAL
1430 WORKSHOP ON CYTOTOXIC AND BIOLOGIC THERAPY PREPARATION DISEASES
AND INFUSION PART 2 Speaker: Dr. Melissa Aquino-Villamin
Speakers: c/o Pharma Session Objectives:
Session Objectives: 1. Describe the algorithmic approach to patients presenting with joint
1. Demonstrate various preparations and the mode of delivery of pains.
various biologic therapy (prefilled syringes vs. IV infusion) 2. Briefly describe commonly encountered STRs (i.e. CTS, TF, DQTS,
2. Discuss requisites prior to biologic therapy use (i.e. baseline RCT/ FS, epicondylitis).
laboratory exams)
1330 3. Discuss patient monitoring during biologic therapy ACUTE MONOARTHRITIS: GOUT AND SEPTIC ARTHRITIS
1415 Speaker: Dr. Angeline Therese Magbitang-Santiago
Session Objectives:
 1. Describe the approach to patients with acute monoarthritis.
2. Differentiate between septic (GC and non-GC) arthritis and crystal-
induced arthritis (gout and pseudogout).
3. Discuss the management of acute monoarthritis.
4. Describe the preparation and indications/ contraindications to
joint aspiration

1415 CHRONIC MONOARTHRITIS: OSTEOARTHRITIS

1500 Speaker: Dr. Allan D. Corpuz
Session Objectives:
1. Discuss updates on the diagnosis of OA.
2. Discuss and differentiate medications for symptom alleviation vs.
disease modification in OA.
3. Compare recommendations on treatment – pharmacologic,
interventions (i.e. viscosupplementation)

1500
1515
COFFEE / TEA BREAK (140 PERSONS)
1515 POST INFUSION / INJECTION CARE CHRONIC POLYARTHRITIS: RA, SLE AND SPONDYLOARTHRITIS
1530 Speaker (PONA Speaker) Speaker: Dr. Ivy Elline S. Afos
1530 Session Objectives: Session Objectives:
1600 1. To provide a summary of post-infusion instructions and expected 1. Discuss the approach to patients with chronic inflammatory
duration of monitoring for post-infusion polyarthritis.
2. Differentiate the different types of chronic inflammatory
polyarthritis.
3. Discuss the management of chronic polyarthritis.

1600 INTRODUCTION TO OUTCOME MEASURES TO MONITOR RHEUMATIC LOW BACK PAIN: SPONDYLOARTHRITIS AND OTHERS
1630 DISEASE ACTIVITY Speaker: Dr. Therese Eileen L. Natividad
Speaker: Dr. Miguel Antonio Cristobal Session Objectives:
Session Objectives: 1. Discuss the approach to patients with low back pain.
1. Discuss the importance of outcome measures in 2. Differentiate inflammatory from non-inflammatory back pain.
Rheumatology. 3. Discuss red flags in assessing patients with LBP.
2. Describe the different types of outcome measures: 4. Discuss the management of low back pain.
a. Physician reported
b. Patient reported
c. Laboratory measures
3. Describe the following outcome measures:
 a. Joint Counts
b. Inflammatory Markers
c. Visual Analogue Scales
d. Introduction to HAQs*

1630 RHEUMATOLOGY REVIEW QUESTIONS

1700 CLOSING REMARKS Speaker: Dr. Leonid D. Zamora
Session Objective:
Discuss and review questions in rheumatology (total of 15 to 20 items-
3 or 4 questions/ topic) with the participants.

1700
CLOSING REMARKS
1715

February 15, 2018 | Opening Ceremonies

Master of Ceremonies: Dr. Auxencio A. Lucero
Dr. Melissa Aquino-Villamin

Time ACTIVITY
1600
REGISTRATION FOR OPENING CEREMONIES
1715
1700
Gathering for Processional
1715
1715 Entrance of colors
1800 Past Presidents
PROCESSIONAL
PRA Board of Trustees
PRA Organizing Committee
OPENING PRAYER
NATIONAL ANTHEM
PCP HYMN/ PRA HYMN
Dr. Bernadette Heizel Manapat-Reyes
WELCOME ADDRESS
PRA President
OATH TAKING OF MEMBERS Dr. Millicent Tan-Ong
(Diplomates and Fellows) Chair, Philippine Specialty Board of Rheumatology
AWARDING OF TRAINING PROGRAM ACCREDITATION Dr. Merle Y. Barba
Rheumatology: East Avenue Medical Center Chair, Accreditation Committee
 Dr. Jose Reyes Memorial Medical Center??
Pediatric Rheumatology: University of Santo Tomas Hospital
1800 DR. LOURDES MANAHAN MEMORIAL LECTURE Dr. Syed Atiqul Haq
1900 How Do Developing Countries Contribute to the Growth of APLAR President-Elect, Asia Pacific League of Associations in Rheumatology

Moderator: Dr. Jose Paulo P. Lorenzo

Past PRA President
1900
PRA COMPILATION OF ESSAYS LAUNCH Dr. Bernadette Heizel Manapat-Reyes and the COE Committee
1930
1930
DINNER (Celtrion- Speaker from UK)
2100

February 16, 2018 | CONVENTION PROPER

Time TRACK: THE HOLISTIC CARE OF THE RHEUMATIC PATIENT

Rheumatology Patient Group Meeting
TRACK: CONVENTION PROPER
Moderators: Dr. Evan Glenn S. Vista
Dr. Lisa S. Traboco
0800
REGISTRATION FOR CONVENTION PROPER
1600
0800 PLENARY LECTURE: YEAR IN REVIEW
0845 Speaker: Dr. Eric Jason B. Amante
Moderator: Dr. Harold Michael Gomez
Session Objective: Discuss relevant developments (updates/
controversies/ issues/ disruptions) in the field of Rheumatology in the
past year

BIOETHICS SYMPOSIUM ON THE DOCTOR-PATIENT RELATIONSHIP

Moderator: Dr. Harold Michael Gomez
0845 ASK BUT DON’T TELL: PATIENT DISCLOSURE
0915 Speaker: Dr. Patrick Gerard L. Moral
Session Objective: Advise on how to handle the following situations:
1. A patient turns out to have gonococcal arthritis. Do you inform
the partner?
 2. Do you report to authorities about a patient’s HIV status or
recreational drug use upon discovery during history taking?
3. You discover a treatment related adverse event from a
medication given by another doctor. Do you tell the patient?
4. How do you handle second opinion consults when your opinion is
drastically different from the first physician?

0915 HOW TO BE EFFECTIVE IN PHYSICIAN-PATIENT COMMUNICATIONS

1000 Panelists: Dr. Patrick Gerard L. Moral
Dr. Evelyn O. Salido
Ms. Marilyn Robles
Session Structure:
Panelists would be asked to complete the following statements:
I wish my doctor told me… (Ms. Robles)
I wish my patient told me … (Dr. Salido)
THEN Highlight how to bridge the gap of patient – physician concerns
to improve the doctor-patient relationship (Dr. Moral)

1000
OPENING OF EXHIBITS and COFFEE/ TEA BREAK
1020
1020 PLENARY LECTURE: EXPANDING THE ARMAMENTARIUM OF
1050 CHRONIC PAIN MANAGEMENT IN A RHEUMATIC PATIENT
Speaker: Dr. Milagros Paterno
Moderator: Dr. Linda Charmaine D. Roberto
Session Objectives:
1. Discuss new and upcoming pharmacologic and non-pharmacologic
treatments for pain management with rheumatic disease.
2. Discuss appropriate timing of referral to a pain specialist for co-
management.

1050 PLENARY LECTURE: PSORIATIC ARTHRITIS MANAGEMENT

1130 Speaker: Dr. Syed Atiqul Haq
Moderator:
Session Objectives:

1130 REGISTRATION FOR PATIENT SUPPORT GROUP MEETING

1300 LUNCH SYMPOSIUM (Pfizer Dr. STV Navarra )
(Limit to 50 registered participants)
 TRACK: THE HOLISTIC CARE OF THE RHEUMATIC PATIENT
SYMPOSIUM ON MATERNAL AND CHILD HEALTH ISSUES Rheumatology Patient Group Meeting
Moderator: Dr. Leonila F. Dans Moderators: Dr. Evan Glenn S. Vista
Dr. Lisa S. Trabocco
1300 PREGNANCY AND THE LUPUS PATIENT LEGISLATION FOR THE RHEUMATIC DISEASES: HOW DID PSORPHIL
1330 Speaker: Dr. Augusto O. Villarubin DO IT?
Session Objectives: Speaker: Mr. Paul Albert Mendoza
1. Discuss issues concerning fertility among rheumatic patients. Session Objectives:
2. Discuss screening and monitoring of lupus patients who become 1. Share how Psorphil was able to lobby for better access to
pregnant. medications/ health programs.
3. Discuss how to manage rheumatic drugs in preparation for and 2. Provide updates on these
during pregnancy

1330 APAS AND PREGNANCY CLINICAL DRUG TRIALS: PATIENTS AS STAKEHOLDERS

1400 Speaker: Dr. Lara Theresa Alentajan - Aleta Speaker: Mrs. Peachy Romualdez
Session Objectives: Session Objectives: Discuss the role of a patient in clinical drug trials:
1. Review updates in the diagnosis of APAS. a. Ethics review board member
2. Discuss misconceptions regarding pregnancy in APAS patients. b. Trial participant [focus on rights/ obligations]
3. Discuss the management of APAS

1400 REVIEW OF THE NEW CLASSIFICATION OF MEDICATION SAFETY

1430 DURING PREGNANCY AND LACTATION
Speaker: Dr. Maria Stephanie Fay Samadan- Cagayan
Session Objectives: COFFEE/ TEA BREAK
1. Discuss the new FDA classification on medication safety
2. Review the new classification of commonly used rheumatic drugs

1430 IS THERE AN ARTHRITIS DIET?

1500 Speaker: Dr. Aileen U. Agbanlog
Session Objectives:
COFFEE/ TEA BREAK 1. Review available evidence on diet modification to prevent or
delay progression of arthritis
2. After reviewing the evidence, recommend an arthritis friendly diet

SYMPOSIUM ON PSYCHOSOCIAL ISSUES IN RHEUMATOLOGY

Moderator: Dr. Ester G. Penserga
Dr. Manuel Emerson Donaldo
 1500 MENTAL HEALTH AND RHEUMATIC DISEASES: MINDFULNESS AS A EXERCISE AND ARTHRITIS
1530 STRATEGY OF CARE Speaker: Dr. Nestor Don N. Santiago
Speaker: Dr. Jannel Gatlabayan-Cleto Session Objectives:
Session Objectives: 1. Review available evidence on exercise to prevent or delay
Introduce the concept of mindfulness in the holistic care of rheumatic progression of arthritis.
disease 2. After reviewing the evidence, plan an exercise program to
improve arthritis
1530 RECOGNIZING DEPRESSION IN CHRONIC RHEUMATIC CONDITIONS COMPLIMENTARY THERAPIES: ACUPUNCTURE AND VITAMIN-
1600 Speaker: Dr. Constantine Della MINERAL SUPPLEMENTS
Session Objectives: Speaker: Dr. Juneth Ria L. Hipe
1. Discuss the impact, prevalence and management of depression in Session Objectives:
patients with chronic rheumatic conditions. 1. Review available evidence on complimentary therapies (such as
2. Discuss screening tools for detecting depression and/or suicidal acupuncture, vitamins and minerals) to prevent or delay
tendencies progression of arthritis.
2. After reviewing the evidence, suggest complementary therapies
for arthritis

1600 THE BURNED OUT PHYSICIAN

1700 Speaker: Dr. Antonio Miguel Dans OPEN FORUM
Session Objectives:
1. How to recognize burnout among physicians. RECAP OF THE DAY’S ACTIVITIES
2. Discuss how to deal with the stressful work environment.
3. Discuss how to address/ achieve work-life balance
CLOSING REMARKS
1700
1900
SUNSET SYMPOSIUM (Johnson & Johnson)

February 17, 2018 | CONVENTION PROPER

TIME TRACK: CONVENTION PROPER

0800 RESEARCH PAPER PRESENTATION
0930 Moderator: Dr. Evan Glenn S. Vista
Co-Chair, Research Committee
0930 PLENARY LECTURE ON HEALTH POLICY:
1000 IMPACT OF SERVICE DELIVERY NETWORKS (SDN) IN THE PRACTICE OF
RHEUMATOLOGY
Speaker: Dr. Beverly Lorraine Chua Ho
Moderator: Dr. Elizabeth Edralin-Manlulu
Session Objectives:
1. Define and describe the scope of SDNs.
2. Discuss how SDNs will impact the practice of Internal Medicine /
Rheumatology

1000
1030
COFFEE/ TEA BREAK
SYMPOSIUM ON RHEUMATOLOGY AND EXTRA-ARTICULAR SYSTEMS
Moderator: Dr. Adora del Rosario-Gatlabayan
1030 NOW YOU SEE ME, NOW YOU DON’T (THE EYE AND RHEUMATIC
1100 DISEASES)
Speaker: Dr. Melchor Alan L. Siriban
Session Objectives:
1. Enumerate rheumatic conditions that present with eye problems.
2. Discuss how to work up patients referred from ophthalmology

1100 THE OTORHINOLARYNGOLOGY AND RHEUMATOLOGY INTERFACE

1130 Speaker: Dr. Cherry Bermudez-Cruz
Session Objectives:
1. Enumerate rheumatic conditions that present with ENT-HNS
problems.
2. Discuss how to work up patients referred from ORL for evaluation
of possible

1130 PERI-OPERATIVE CARE OF THE RHEUMATIC PATIENT

1200 Speaker: Dr. Gideon J. Caballes
Session Objective: Discuss ACR recommendations on how to manage
rheumatic patients undergoing surgery

1200
1330
LUNCH SYMPOSIUM (Novartis)
1330 PANEL DISCUSSION: REFER TO RHEUMATOLOGY
1430 Interesting Vignettes in Rheumatology
Panelist:
Dr. Roger Dulos
Dr. Tito P. Torralba

Moderator: Dr. Sandra Tankeh-Torres

Session Objectives:
1. To share non-rheumatic conditions presenting with rheumatic
complaints and vice-versa.
2. To discuss important diagnostic issues and therapeutic
management dilemma in peculiar medical cases.

1430 CLOSING CEREMONIES

1445 Dr. Emmanuel C. Perez
Dr. Julie T. Li-Yu
Dr. Bernadette Heizel M. Reyes

AWARDING OF SIG HOSTS

AWARDING OF RESEARH PAPER PRIZES
OATH TAKING OF CLINICAL MEMBERS

1445
1700
BUSINESS MEETING (PRA Members Only)
1800 FELLOWSHIP NIGHT: “PRA GOES LATIN”
2000 (For PRA Members, Affiliates and Guests)