Victoria Emergency Medicine CME Cycling Conference

'Emergency Care: Best Evidence, Best Practice'

Sept 27 - 30 2017




2015 Conference Participants!With the success of the 2016 edition, we are pleased to announce the 2017 edition of our Cycling Conference.

Pictures of the 2013201420152016  editions!


Introducing a CME conference catering to road cycling enthusiasts. Based out of the family-friendly and and optimally positioned Bear Mountain Westin Resort, you will be treated to 3 days of relevant medical lectures and discussion and 4 days of exploring Victoria's excellent riding with Calgary's own professional masters cycling coach Trev Williams and his experienced ride guides. We once again are limiting the conference registration to 30 participants!


This conference welcomes cycling enthusiasts of ANY ABILITY!

With 5 riding guides/groups, you will not be 'slowing anyone down'. Just come and have fun on two wheels!


An application has been submitted for accreditation as an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada to the University of Calgary.

Secure your spot, register here!




This conference has been planned by Dr. Adam Oster, Dr. Lisa Campfens, in conjunction with Trev Williams PhD, Professional Cycling Coach and owner of The Doctrine Training Ltd.


Conference CME Objectives:

We have created a theme that addresses relevant topics from within the ER but also focuses on topics that keep the Emergency Room current, operational, and sustainable. We are excited to include talks by professionals that are involved with the ER everyday, but not from a physician perspective. For example: with the changing taxation coming into effect this year for every Emerg. Physician we thought it would be a perfect opportunity to hear a talk by a professional that can guide and discuss.



For the doctors flying out of Calgary, the Flight Itinerary below is the recommended travel times. I have booked two big vans and two trailers to shuttle the conference registrants from the Airport straight to the resort and back! This service will be $100 if you choose to use it. The Shuttles will be LEAVING Vicotria airport on Sept 26th at 6:30pm and heading directly to the Westin. The Shuttles will be ARRIVING at the Victoria airport on Oct 1st at 8:15am. So if you are using an alternative flight than the one outlined below, and you would like to use the shuttles, then please schedule your flight accordingly. 

Calgary (YYC)
Tue Sept 26 2017, 5:15 PM
Victoria (YYJ)
Tue Sept 26 2017, 5:45 PM
WS 227
Fare type: Econo
Victoria (YYJ)
Sun Oct 01 2017, 9:24 AM
Calgary (YYC)
Sun Oct 01 201711:45 AM
WS 220
Fare type: Flex

Conference Format / Feel:

•  Once again, the biggest positive feedback from 2016's edition aside from the organization of the conference in general and quality of cycling component was the quality of the constructive discussion generated and encouraged. This was possible by keeping the registration numbers extremely low, having high quality faculty, and configuring the conference room seating into a U-shape to enable quality discussion.

•  This winning conference formula will not be tampered with again this year. The talks will be discussion based and interactive.

•  Informal talks were given last year by Trev Williams off the bike around an open-pit fire on the unbelievable patio of the Marriott, this year it will be at the Westin, but there is still an open put fire! These were very interactive and required every participant needed to have a beer or wine in their hand! Trev's talks focused on how to fit quality training / exercise into a busy lifestyle including family, work, and social obligations. The talks also included exercise nutrition, as well as cycling education. These talks were purely optional but well attended and led to some great discussion. 




The experienced cycling team from “The Doctrine Training” will ensure the rides are some of the best that Victoria has to offer and the participants will benefit from guiding and coaching on the road as well as off the bike. The support vehicles will ensure any ability and experience level is welcome and taken care of!



Sept 26th Register and relax. The Westin is only 30 minutes from the Airport! Rental bike fitting and bike building will be done this evening if required so no time is wasted tomorrow! Trev will help you out here while chatting about the coming days. If you transport your bike down (like most did last year), there will be a large room available to assemble your bike at your leisure. Trev will be there as well to help!

Sept 27th through to Sept 29th Breakfast served with morning academic sessions with guided cycling throughout the day. For registered conference participants, breakfast will be included in the morning. For dinner, conference participants will then be free to enjoy their choice of the several different restaurants at the resort (not included with registration fee), possibly with their partner! 

Sept 30th The climax.  A full day out on a classic Victoria bike ride. Cyclists will have multiple options in terms of length, but we have all day and a lot of great terrain! In the evening we gather to toast our success and enjoy a well earned post ride and conference meal!

Oct 1st Depart for home.


What’s included in the package for $1895 (+ GST)*:

East Saguaro National Park 

• Welcome drink and hors d'oeuvres at the resort's lounge.
• Three days of lectures, case studies, and discussions.
•  CME hours. The amount of hours associated with this conference is currently in the application process.
• Four guided, coached, and fully supported rides in some of the best road riding in Victoria.
•  Nutrition while riding.
• Breakfast every day.
• Lunch on two days.
• Support vehicles and assistance during rides. Bus transportation to cool locations. Bike transportation to ride start and from the finish.
• Guiding and cycling coaching from one of Calgary’s top cycling coaches.
• Nutrition and training advice for endurance events like Gran Fondos, other cycling vacations, or Charity Rides.
• Wrap up evening meal at a cool restaurant chosen by Trev, located downtown.
• Custom symposium cycling jersey for early registrants (if you register before April. 30th 2017)!

•  An extremely small group relative to conference norms. This will ensure very high quality control!
•  Opportunity to stay at the Bear Mountain Resort for $169 a night (plus $22 a night resort fee) if you book before July 15th 2017! This is drastically reduced from the $229 regular rate.**

* Registrants will be responsible for two lunches, and for suppers except on Sept 30th when they will be treated to an exceptional meal at a downtown Victoria restaurant I will pick soon!

** The resort rate of $169 + $22 a night excludes local taxes and is valid only you book before July 15th 2017.


Average Temperature of Vicotria in Sept ranges from a low of 10 in the night to a high of 21 degrees Celcius.  We chose this time of year as the weather is usually perfect for riding throughout the day. Do be prepared for a bit of cold. My philosophy is, 'If you don't pack cold weather gear, it will most definitely be cold' We'll pack your extra clothes for you in the support vans if you end up shedding it!


Sharing your experience:

CONTINUED FOR 2017 !! Several physicians asked if they could bring their friends/partners to ride with. The answer is YES !! This is the best of both worlds; the intimate nature of the conference is preserved and you get more people to ride with. The amount of ride guides will be increased to accommodate more cyclists and the associated widening of abilities!

We realize the cycling and experience opportunity associated with this symposium may be too good for you not to invite your partner or good friend. Trev prides himself on the extremely high level of personalization associated with his services. Conference attendees will be kept to a level where everyone will benefit from Trev's expertise both with local ride knowledge and coaching. Spouses and friends are welcome for an additional cost but space will be limited! If you plan to bring several friends or your partner, please register and inform Trev very soon.  The pricing reflects the need to accommodate for more ride guides as well as increased transportation issues due to increased numbers. Your riding partner will also be welcome to attend the initial 'meet and greet', as well as the wrap up dinner and drinks at a spot picked by Trev downtown! Your riding partner/s will also receive a conference jersey (if you register before July 15th 2016)!  There is also a purely social partner registration, if you would like your partner to attend the initial meet and greet and the wrap up dinner with you!


Family friendly:

If the family would like to come to the conference, there is plenty to do even if you just stay at the hotel. The waterpark is impressive, and there are hiking and trail running routes leaving directly from the hotel. There is a teen lounge and of course a world class spa. The Starr Pass Marriott is located slightly west of Tucson but getting into the city is extremely easy and convenient for the family. Visiting the massive campus of the University of Arizona may be interesting to see.Not just for the kids! Floating Peloton!


Medical Faculty:

• Dr Adam Oster, Emergency Physician, Session Chair

• Dr Lisa Campfens, Emergency Physician




• Dr Andrea Boone, Emergency Physician 

• Dr James Huffman, Emergency Physician 

• Dr David Johnson, Emergency Pediatric Physician

• Dr Andrew Liley, Pediatric Anesthesia

• Dr Carine Wood, Pediatric Anesthesia

• Dr Carla Wallace, Neuroradiologist

• Dr Tim Boyne, Cardiologist

• Dr Tony Gomes, General Surgeon

• Dr Laura Bennion, Family Practice and Sports Medicine

• Dr David Lendrum, Emergency Physician (STARS), Session Chair

• Dr Michael Betzner, Emergency Physician (STARS)

• Tim Ryan, Health Law Lawyer


Extracurricular Faculty:

• Trev Williams PhD, Professional Cycling Coach


Academic Schedule:

(All talks are 40min presentation / 5min discussion)




April 12th

Arrive, register and relax on the patio of the Resort in a private function designed for you to get to know your cycling partners for the next 4 days!


April 13th

Session Theme:  Inside the Emergency Room.
Session Chair: Dr. Shawn Dowling
0700 – 0715 : Welcome Remarks  : Drs.  Dowling
0715 – 0730 : Welcome Remarks  : Trev Williams
0730 – 0815 : Dr. Andrea BooneWhat’s new in Anaphylaxis in the ED? A review and update
0815 – 0900 : Dr. James HuffmanCognitive Load Theory in Medicine - Feeling the Mental Burn
0900 – 0915 : Break
0915 – 1000 : Dr. David JohnsonInteresting Toxicology Cases.
1000 – 1045 : Dr. David Lendrum : "Preflight Checklist" for Transporting Patients for the Non-Transport Physician


April 14th

Session Theme: Building the Bridges to the Emerg.
Session Chair: Dr. David Lendrum
0700 – 0715 : Plan for the day : Trev Williams
0715 – 0800 : Dr. Tim BoyneValvular Heart Disease - Pearls and Pitfalls
0800 – 0845 : Dr. Laura BennionManagement of the precipitous delivery and PPH management.
0845 – 0900 : Break
0900 – 0945 : Dr. Michael BetznerED Case Disasters - Prioritizing Resuscitation.
1900 – 1930 :  John McClureTimes (and taxes), they are a-changing” for physicians; Ensuring the health of your compensation!
1930 – 2000 :  Tim Ryan: How to Keep your Butt in the Saddle and out of Court.
April 15th 

Session Theme:   Crossing the Bridges into the Emerg.
Session Chair: Dr. Shawn Dowling
0700 – 0715 : Plan for the day : Trev Williams
0715 – 0800 : Dr. Andrew LileyEmergency Management of Palliated Congenital Heart Disease.
0800 – 0845 : Dr. Tony GomesEndoscopic (Upper and Colonoscopy) Complications and Lower GI Bleeds
0845 – 0900 : Break
0900 – 0945 : Dr. Carine WoodHypothermia in the ER.
0945 – 1030 : Dr. Carla Wallace : Brain Infections in the ER: Pus and parasites.


 Gates Pass

Schedule of rides and activities:

The riding is targeting at cyclists of ALL ability! The ride distance, speed, and emphasis will be different for each group. In 2015 we had 6 distinct groups each day all doing differing lengths of ride. With all the support and ride guiding, the idea is that YOU ride for as long and as quickly as YOU want to. Don't be intimidated to sign up, we can accommodate any level of cyclist.


The ride routes may change with road and weather conditions but the planned program will look similar to this. Rides will cater to all ability levels. Trev has mentored under Chris Georges, owner and operator of Le Monastere, one of the best in the world for hosting first-class cycling vacations. Support vehicles will constantly ensure you are cycling the exact lengths, times, and terrain you would like. Ride nutrition will be provided for all rides. A variety of electrolyte drink brands will be available for your use (Gu Brew, Powerbar Perform, Gatorade) as well as most products offered by Honey Stinger, including gels, protein bars, and waffles (my favourite).


April 12th : The prep.

 Trev will help you assemble your packed bike, or fit you to a rented ride. He will also be available to answer any questions as to the days coming up and help you prepare from a nutritional standpoint. The bikes will all be contained in a secured storage room being rented from the Starr Pass resort so you don't have to worry about lugging them to and from your room.




April 13th :  Gates Pass into West Saguaro Park and Picture Rocks: (30km - 75km)

This is the perfect 'starter' ride for your introduction to Tucson riding. We can leave right from the Resort which is situated very close to the start of Gates Pass. This fun little ascent delivers an exhilarating descent that lands you inside West Saguaro State Park. For the experienced riders, we'll take a detour here to enjoy some extra roads and eventually hook up with the cyclists happy with a smaller loop on Picture Rocks road. A short jaunt on Silverbell Road will bring us to the fun Sweetwater roller coaster. From there the cyclists happy with the loop can return back to the resort for some lazy river action while the cyclists that still haven't had enough can ascend A-Mountain for a great view of Tucson! All groups will be fully guided.


April 14th:  Madera Canyon or Kitt Peak (30km - 100km)

Starting next to Tucson's large Pecan tree plantations in Green Valley, we'll ride south for 15km before heading East toward Madera Canyon. The long slow climb exits the desert and enters the beautiful Coronado National Forest. You will feel a sense of accomplishment as you reach the end of the paved road and will love the view of the canyon stretching out below you. The descent is extremely fun and lands you right into the Posada Java coffee shop for a nice cold smoothie to finish your ride!

This year, Kitt Peak will be offered to returnees of the conference who would like a significant challenge! The ride will start in Three Points, which is just West of Tucson and is a gentle incline until you hang a right onto the Observatory road, where the climb starts in earnest! Over 20kms later, you are greeted to some fantastic sites of the desert floor and surrounding mountain ranges!


April 15th  Vail to East Saguaro Park to Le Buzz Cafe beauty ride: (55km - 75km)

The ride highlight of this one will be the 8mile loop inside East Saguaro National Park. Cyclists will be given the opportunity to leisurely complete one or two loops of this spectacular single-lane, one-way, 8 mile almost empty, pristine roadway. If anyone is so inclined, I will give some direction as to how to tackle this loop quickly and then hold a fun 'event inside the event' by timing you over one loop. This way you have a reference for the next time you come!


April 16th:  The icing on the cake, Mount Lemon: (30km - 100km)

This epic climb is a 'bucket list' item for most cyclists from North America and beyond. As you ascend and click off the mile climb markers, you will be amazed at the change of vegetation and climate! Multiple switch backs and vantage points provide you with amazing vistas to stop to take a break and snap a few photos.Route Here. 30km - 95km.



Look at that bike lane!

Additional Notes:

What clothes should I pack for the fun?

- I have created a list of clothing and cycling materials I highly recommend you bring with you. Here is the link to this. If you have any questions, don't hesitate to ask me.

Yes, you DO need quality out-of-country medical insurance.

- We require purchasing quality out-of-country medical insurance for this symposium.

Taxi from the Tucson Airport

-Taxi info for commute to airport is very straight forward. The Marriott is only 12.3 miles from the airport. The hotel recommends the company AAA Sedan at 520-594-9444. Please call ahead to make a reservation. PLEASE tell them if you have a bike box. Not all the cars may be able to deal with the bike box. You can request a 'Wheel car taxi' or a 'Handicap taxi' which will be able to accommodate you if you have more than one person in your party. But make sure to call ahead and reserve this service!

- If you are bringing your own bike, allow some time to build it up. Bring a well functioning bike to the conference! Operating brakes, gears, and fairly new tires. I have rented a whole conference room for secure storage of your bikes and a big area you can put them together. When you check in at the hotel, they will direct you to bring your bike to this area.

Want to rent a bike in Tucson?

- Rental bike company info here. Let me know if you are renting from this company and I will pick it up for you on April 12th and have it at the hotel. We will fit you on it April 12th evening. Make sure to bring your own saddle, cleats, shoes, and helmet!!



Relevant supplemental Bio on Trev Williams, owner and founder of, The Doctrine Training Ltd. 

Trev completed his B.Eng at the University of Victoria in their mandatory coop program. For his last two work terms, he started completing his master's degree at an electromagnetics lab on campus, learning how to effectively research, and build practical computer biomedical models, all while designing a cellphone antenna that deposited less energy into the ear and brain than the current standard. He started attending electrical engineering conferences for his own research and work in 1999 and averaged approximately one major symposium a year until 2009. Throughout the completion of his Master's and PhD degrees he also attended numerous smaller symposiums and has gained experience from the 'conference attendee' side about what works and what doesn't when offering extracurricular events at a function like a symposium. He is excited to be hosting a symposium for the medical profession, and with his PhD in Microwave Breast Cancer Imaging and Modeling, you may find he actually understands some of the medical lingo that will be bantered about throughout the conference!