Welcome to the 26th WONCA Europe Virtual Conference Programme Scheduling

This round table combines short clarifying presentations with the opportunity to practice with state-of-the art infographics of new diabetic treatment and a “shared decision making” tool for people already taking statins to define their risks. More than 40 years ago, General Practitioners have initiated the development of clinical practice guidelines in Primary Care. We are now in transition from EBM and guidelines towards Shared Decision Making and, lately, using patient reported outcomes and big data (value-based health care). This round table show you our learning curve of projects on implementation of Shared Decision Making for patients with cardiovascular risks. We will focus on the main challenges that we now face in being inclusive to all patients. We face the complex problems of communicating risks and benefits effectively, especially for doctors with limited numeracy and patients with limited health literacy. We face the complex problems of making trade-offs between initiating drug treatment and lifestyle change. We face the challenges of really getting to the heart of the matter; to align our counselling to what matters most to the patient in his or her goals in quality of life and preferences for treatment modalities. Combining beautiful infographics and SDM tools from the BMJ Rapid Recommendations with excellent speakers and the opportunity to experience the real stuff, it will be MAGIC.

COVID-19 is of course a very important topic that should be discussed during this WONCA congress. Therefore, we have asked two experts on this topic to share their knowledge in this plenary session. First Chris Butler, a well-known GP and researcher form Oxford University in the UK will tell us about setting up and managing the largest trial at this moment on treating patients with COVID-19 in primary care. Using a novel trial design his team was able to assess the effects of several treatments which are currently being published, in among other journals, the Lancet. He will update us on latest results of this fascinating and important study that is still ongoing. Migrant patients, and especially them with insecure living circumstances, are at high risk for COVID-19 infection and worse health outcomes. Based on his extensive research in this area and his experiences as a clinician working in a primary care health centre for irregular migrants, prof. Yves Jackson will explain the reasons behind these higher risks, and the relation between social determinants of health and COVID.

Session organised by the International Primary Care Respiratory Group (IPCRG), the European Academy of Allergy and Clinical Immunology (EAACI) primary care working group and the General practice Research on Infections Network (GRIN)

In this session the main focus is to enable participants to have discussions with colleagues on three items: 1. How are we managing COVID in our daily clinical work? 2. How are we facing the challenges of the long lasting symptoms of COVID-19 often referred to as Long Covid ? 3. What are the problems and possible solutions of managing COVID-19 in migrants? This session will start with presentations then go into breakout rooms enabling you to listen, share and reflect upon experiences from colleagues across Europe. During the presentations, Dr Nisreen Alwan, an associate professor from the University of Southampton, will inform you on the long-term effects of COVID-19. A considerable number of patients are suffering from long COVID-19. She will discuss the challenges of this new syndrome and it’s implications for daily practice. Prof Maria van den Muijsenbergh, an academic GP from the Netherlands, has extensive experience in caring for refugees and other vulnerable migrants. In her talk, she will highlight some specific issues when caring for migrant patients with COVID. Her practical tips will help GPs to provide person centered culturally sensitive care for their patients. This Round Table will enable you to exchange views, discuss different approaches and learn from each other. In short, the very reason many of you decided to join this WONCA congress!

Session organised by the International Primary Care Respiratory Group (IPCRG), the European Academy of Allergy and Clinical Immunology (EAACI) primary care working group and the General practice Research on Infections Network (GRIN)

During the last years some decision tools on the detection of cancer have been published. Examples are the Q-cancer risk scores for all patients in practice and the Caper-studies on the risks of patients with alarm symptoms. The impression however is, that these instruments are not used on a regular basis and, if used this happens mostly unconsciously. Meanwhile survival increased, probably not only because of better therapy, but also of earlier detection (by introduction of screening and by increased symptomatic detection). However, this increase is not very impressive, about 10% in 40 years which led to current survivor rate of 60%. In this round table we will approach this world wide problem on three ways. Firstly we will explore why general practitioners underuse current detection algorithms and we will present a future, where artificial intelligence might help the GP to refer patients with cancer earlier. The question however will be: on what costs? We will discuss this both clinically as well as from a societal and ethical perspective. To end with we will try to gain understanding on how we make decisions, how much uncertainty do we think is acceptable and are formulated referral thresholds helpful. We hope to end with some conclusions and some sort of an agenda for the future.

Nowadays, both governments and doctors are paying a lot of attention to prevention in order to diminish the burden of disease and thus keep health care sustainable and affordable. The first question is on which preventive activities we should focus when providing care for older people, especially the very old. Should quaternary prevention, protecting people from overmedicalization, be our main goal? The downside of quaternary prevention might be that we take or are misinterpreted as taking a ‘laissez faire, laissez passer’ approach of not providing enough care for our patients. How do we achieve a balance and how do we discuss this with patients? Secondly, what are the ethical dilemmas in discussing advance care planning with patients who have been recently diagnosed with dementia, and in discussing this with their families? When and how should we proceed with advance care planning? Which issues should be covered, which issues should perhaps be avoided? In this Round Table we will explore both themes in-depth, after the two plenary speakers have provided us with food for thought. In small groups, we will have two rounds of discussion on an assignment for each theme which will be introduced by Dimity Pond.

Personalised care is key to the profession of family physician. Recently, this term has also been used by experts from other areas of biomedical science, especially regarding genomics. But actually, family physicians are true experts in personalised care. This session will deal with the family medicine approach to personalised care. We will hear experts describing attitudes of family physicians from the Netherlands regarding personalised care for dementia. We will learn about experiences from China and the way patients there understand personalised care. The session will also include a study from the UK about the results of new practices in care for people with dementia. Finally, we will learn bout the factors that influence patients' decision of living with dementia at home in the Netherlands. I am confident that this will be a very interesting session and I am looking forward to your questions and a lively discussion.

In this research masterclass, you are invited to discuss strengths and weaknesses of various research methods for understanding professional health. The masterclass includes presentations on qualitative and quantitative studies in different countries on a wide array of topics, such as: - job satisfaction of general practitioners - educational interventions for the development of professional skills - lifestyles of physicians - COVID-19 and wellbeing of general practitioners. These and other relevant aspects of professional health will be presented by leading researchers in their respective fields, and discussed with the audience. After hearing all about the latest scientific insights, there will be ample opportunity to ask your questions or make comments to the presenters during the session’s interactive section.