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Category Archives: Event

International Symposium on Multimorbidity 2022


By Silvan Licher  

Dear all,
We are organizing an International Symposium on Multimorbidity in Amsterdam, the Netherlands. The meeting will be held in hybrid form.
Speakers include: Prof Dr Chris Salisbury, Dr Amaia Calderón-Larrañaga, Dr Rene Melis and many others!
Please find the full program, and options for registration here:


Date: Monday 7 November 2022
Time: 09:00-17:00 CEST
Location: Trippenhuis, KNAW Building in Amsterdam, the Netherlands 

Looking forward to meeting / seeing you there!

With warm wishes,
Also on behalf of Rikje Ruiter, MD, PhD
Silvan Licher, MD, PhD

International Symposium on Multimorbidity 2021

This hybrid, one-day symposium covers three key areas in the field of multimorbidity: 1) definitions of multimorbidity, 2) Multimorbidity and clinical practice and 3) Prevention of multimorbidity, and health policy & healthcare utilization. 

Registration (it’s free for AIOS / PhD students):
NIV non-members: https://lnkd.in/dz2hgAU
NIV members: https://lnkd.in/dS-Ckaq

The event can be attended either online or physically. For now, Dutch COVID countermeasures allow 50 places available in “Het Trippenhuis”, in Amsterdam, you are most welcome to join online – that is always possible 🙂

Leading (inter)national experts will inform you about the most recent advances in these areas – accompanied by interactive panel discussions with the audience. Plenary speakers among others include prof. dr. Barbara van Munster, prof. dr. Cynthia Boyd, prof. dr. Maureen Rutten-van Mölken.

Chaired by prof. dr. Jako Burgers

Upcoming new research talents will pitch their research, and poster presentations will facilitate inspiring discussions during the breaks.

International Multimorbidity Symposium – Friday, November 15th

We are excited to announce the International Multimorbidity Symposium that will be held on Friday, November 15th at Western University in London, Ontario, Canada.  Attendees will have an opportunity to present and hear about ongoing and future research, as well as collaborate with others to determine the next steps to move international multimorbidity research forward.  We will be welcoming two keynote speakers, Dr. Frances Mair (University of Glasgow) and Dr. Lauren Griffith (McMaster University) and we will be using the “Multimorbidity: a priority for global health research” report from the Academy of Medical Sciences to guide the discussion during the Symposium.
We welcome any academic researchers, students, policy-makers, health care providers, patients and caregivers who are interested in multimorbidity — importantly to ensure that our discussions represent as many perspectives as possible.  If you have any questions about the content of Symposium, please feel free to contact Kathryn Nicholson, kathryn.nicholson@schulich.uwo.ca.  We look forward to seeing you on November 15th!

Joint workshop on multimorbidity in the UK and in low-and middle-income countries

By Martin Fortin
On 20 and 21 June 2018, the Academy of Medical Sciences (UK) organized a two-day workshop together with the Medical Research Council, the National Institute for Health Research, and Wellcome.
The primary objective of the workshop was to provide a platform to discuss key priorities for multimorbidity research, with the aim of identifying:
• Areas where research can have the most impact in addressing multimorbidity.
• Current barriers to performing and funding research, and ways in which they can be overcome.
• The methodological approaches needed to better enable multimorbidity research.
• The best mechanisms with which research funders can support research activity in this area.
The report of this workshop is now available to download, along with the agenda and copies of the presentations at:

PACE in MM Forum at the NAPCRG Annual Meeting in Cancun, Mexico

By Moira Stewart and Martin Fortin
Co-Principal Investigators of PACE in MM team

Martin Fortin and an international group of collaborators conducted a Forum at the North American Primary Care Research Group Annual Meeting in Cancun, Mexico on October 28, 2015 on “Outcomes for Patient-Centered Interventions for Persons with Multimorbidity.”

Speakers were Maxime Sassville, Elizabeth Bayliss, Chris Salisbury, Martin Fortin and Paul Little.  Moira Stewart summarized the proceedings.

Domhnall MacAuley highlighted this Forum in his CMAJ blog.  Have a look!


Personalized Geriatric Medicine. A shift in management approach

By Gunnar Akner


Since aging is the most important risk factor to develop disease(s) and/or injuries, multimorbid elderly people dominate in all parts of the health care system: in hospitals, in primary care and in communal care for the elderly. The multimorbidity phenotype among elderly people is very complex and in combination with great variation on psychosocial context, there are not two multimorbid elderly people alike. This diversity has fundamental consequences for the health care system:

1.    Analysis, evaluation, management/care and follow-up of multimorbid elderly people must be
individualized and based on integrated and targeted multi-domain thinking. National guidelines are not very helpful in the management of multimorbidity, that requires simultaneous health problem specific and integrated management. A strict adherece to guidlines will impose strong risks to multimorbid elderly.

2.    Such individualization requires that the clinical working conditions support qualified management over time. Key elements regard for example team composition (type and number of team-members), team working methods and a medical record that is based on the individual´s health problems, how they have developed over time including the effects of various treatments/care.

3.    The high prevalence of multimorbid elderly people calls for a shift in the education and training of physicians and health care staff, and should have sa strong base in Geriatric Medicine.

4.    Clinical treatment research methodology resides heavily on the randomized controlled trial (RCT). The RCT is based on the assumption of treating homogenous groups av patients with well defined interventions. In multimorbid elderly people, the heterogeneity is profound regarding both the health problems, treatment methods and outcomes. Thus, there is a strong call to develop complementing research methods, for example the n=1 methodology.

These aspects are discussed more in detail in a recent overview article in Clinicak Geriatrics (1).

Similar aspects of multimorbidity in elderly will be discussed during the 3-day international conference (Berzelius-symposium)”Personalized Geriatric Medicine” in Stockholm, Sweden, August 20-22, 2014 organized by The Swedish Society of Medicine, in cooperation with European Union Geriatric Medicine Society (EUGMS), the Swedish Society of Geriatric Medicine, Karolinska Institutet and the Swedish National Research Council http://www.sls.se/Utbildning/Berzeliussymposier/geriatricmedicine/. President of the organizing committee is professor Gunnar Akner.
World leading researchers and clinicians from Geriatric Medicine and elderly care from USA, Japan, Spain, England, Ireland, Norway, Finland and Sweden will provide state-of-the-art-lectures (see list of participants on the conference website). On each day of the conference, there will be group discussions, where lecturers and participants meet and engage in in-depth discussions around different themes.
We hope the conference will attract researchers, clinicians in Geriatric Medicine and other medical specialities from different professional staff groups, stakeholders and decision-makers, politicians, economists etc with interest to improve the quality of care from the individual elderly patient´s point of view. An application has been made to the EACCME® for CME accreditation of this event.

1.    Akner G. Frailty and multimorbidity in elderly people: A shift in management approach.
Clin Geriat 2013; 21: published online September 23, 2013.
(see website www.gunnar-akner.se, link ”Multimorbidity/frailty”)

Conference Personalized Geriatric Medicine


The Swedish Society of Medicine is inviting to a 3-day international conference called “Personalized Geriatric Medicine”, in Stockholm/Sweden August 20-22, 2014. The conference is arranged in collaboration with the Swedish Society for Geriatric Medicine, European Union Geriatric Medicine Society (EUGMS), Karolinska Institutet and The Swedish Research Council.
The program will focus on management of individual frail, multimorbid elderly people over time in relation to medical quality, patient safety, education/training and research/development. World leading researchers are invited as speakers and will present state-of-the-art lectures. We aim to highlight the potential of Geriatric Medicine to improve the quality of multi-domain analysis, management/care and follow-up over time in individual multimorbid, elderly people. The potential of the medical record to serve as a much longed for “geroscope” will be highlighted. Each symposium day includes group discussions, where the participants and speakers meet to discuss various themes more personal and in-depth.
The conference is hoped to attract scientists, clinicians from different medical specialities, health care staff groups, stakeholders and others with interest in various aspects of improving health care, assessment and managment/care of multimorbid, elderly people.
For more information about the conference and how to register, please visit the conference homepage: http://www.sls.se/Utbildning/Berzeliussymposier/geriatricmedicine/.

Welcome to Stockholm in August 2014!
Stockholm, Sweden March 10, 2014

On behalf of the Organizing committee

Gunnar Akner
Professor in Geriatric Medicine, Senior physician

An International Perspective on Designing Interventions for Multimorbidity in Primary Care

By Martin Fortin, Elizabeth A. Bayliss, Susan M. Smith, Stewart W. Mercer, Mogens Vestergaard, Chris Salisbury

Under the sponsorship of the Agency for Healthcare Research and Quality Multiple Chronic Conditions (AHRQ MCC) Research Network, a panel of six members of the International Research Community on Multimorbidity (CIRMo) presented a webinar on interventions for patients with multimorbidity: “An International Perspective on Designing Interventions for Multimorbidity in Primary Care”. The webinar included three parts:

Context and background for interventions: Dr. Chris Salisbury, University of Bristol, UK, discussed the eligibility criteria in intervention studies for multimorbidity (Who should we include in studies of interventions for multimorbidity?). Dr. Elizabeth A. Bayliss, Kaiser Permanente Colorado, University of Colorado School of Medicine, USA, who acted as the moderator of the webinar, presented “Outcomes for Multimorbidity Interventions” followed by Dr. Susan M. Smith, HRB Centre for Primary Care Research, RCSI Medical School, Dublin, Ireland, who presented a brief summary of a systematic review: “Interventions for improving outcomes in patients with multimorbidity in primary care and community settings”.

Reports on specific research and operational interventions: Senior investigators described three intervention initiatives in three different contexts. Dr. Stewart W. Mercer from the Institute of Health & Wellbeing, University of Glasgow, Scotland, presented “Preliminary findings of an exploratory cluster RCT of a primary care-based complex intervention for multimorbid patients living in deprived areas”. Dr. Martin Fortin, Université de Sherbrooke, Québec, Canada, presented results of an ongoing pragmatic randomized controlled trial: “PR1MaC: Evaluating the integration of chronic disease prevention and management services into primary healthcare” and Dr. Mogens Vestergaard, Aarhus University, Denmark, described a very interesting Danish experience in managing patients with multimorbidity: “The multimorbidity clinic at silkeborg hospital”.

Questions & answers period: At the end of the presentation was a very interesting period of interactions between participants of the webinar and the panel of researchers.

The Webinar was coordinated by James R. Fraser and hosted by Jared Lyle from the AHRQ MCC Research Network.

You can access the webinar presentations and recording through the AHRQ MCC Research Network website:


Look for the last item under “Webinars & Workshops” entitled “An International Perspective on Designing Interventions for Multimorbidity in Primary Care.”

Multimorbidity: The need for a consistent and coherent approach

By the Chronic Disease Surveillance and Monitoring Division, Public Health Agency of Canada (CDSMD-PHAC)

The need for a consist and coherent approach to measure multimorbidity was the main message arising from a meeting hosted by the Chronic Disease Surveillance and Monitoring Division of the Public Health Agency of Canada on December 14, 2012 in Ottawa, ON.  The Agency convened several leaders working in the area of multimorbidity in Canada to discuss the conceptualization and definition of multimorbidity from a public health surveillance perspective.

Multimorbidity leaders agreed that while some efforts have been made to establish standardised tools and techniques to assess multimorbidity, there has been a lack of consensus and multimorbidity measures to date have been characterized by high heterogeneity.  Without consistent methodologies to measure multimorbidity, public health practitioners and clinicians may receive little or inconsistent information about the scope and burden of multimorbidity and what can be done to address the problem.

Leaders emphasized the need to define multimorbidity in a way that will resonate with both public health policy makers and clinicians and they encouraged continued attention toward the issues at the heart of multimorbidity in Canada, such as complexity of clinical care, cases of concurrent mental illness, and the common risk factors and determinants which precipitate development of multiple diseases.

The Chronic Disease Surveillance and Monitoring Division is looking forward to working with other multimorbidity leaders to help meet this challenge, and to advance the measurement and reporting of multimorbidity in Canada.

International collaborative research initiative to design interventions for patients with multimorbidity in primary health care

By Martin Fortin

As part of the 2012 Annual Meeting of the North American Primary Care Research Group (NAPCRG), participants from different disciplines and fields of expertise had the opportunity to take part in the “International collaborative research initiative to design interventions for patients with multimorbidity in primary health care” to discuss and share ideas and perspectives with each other.

This forum was initiated and organized by six researchers: Martin Fortin, MD, MSc; Elizabeth A. Bayliss, MD, MSPH; Stewart Mercer, MBChB, PhD; Susan Smith, MD, MSc; Jane Gunn, MBBS, FRACGP, PhD, DRANZCOG; Mogens Vestergaard, MD, PhD. The forum aimed to use a group process to identify a set of attributes relevant to interventions in multimorbidity, to share findings and to identify potentially important future directions for improving generalist patient-centered care of persons with multimorbidity in primary care settings.

Participants came from different organizations across the USA, Canada, Australia, Denmark, Ireland and the UK which fostered discussions enlightened by different perspectives and experiences. The forum’s organizers gave very short presentations on a number of topics (list presented below*) before handing the floor over to participants for very enthusiastic small group and plenary discussions.

The organizers would like to thank and congratulate each one of the participants for so generously sharing their wide-ranging perspectives and to inform them that the lead group is planning to write a paper based on the forum’s discussions and the work leading up to it.

*Presentation list (summary):
-Concepts and definitions for multimorbidity interventions (M Fortin)
-Systematic review of interventions to improve outcomes for patients with multimorbidity in primary care and community settings (S Smith)
-Outcomes for multimorbidity interventions (E Bayliss)
-Preliminary findings of an exploratory cluster RCT of a primary care-based complex intervention for multimorbid patients living in areas of high deprivation in Scotland: The CARe Plus Study (S Mercer)
-Co-designing an intervention for improving care for those with severe and enduring mental health problems (J Gunn)
-Integration of chronic disease prevention and management services into primary health care: The PR1MaC Study (M Fortin)
-Interventions for multimorbid patients in Denmark (M Vestergaard)

From left to right:
Chris Salisbury, Stewart Mercer, Susan Smith, Mogens Vestergaard,
Martin Fortin, Jane Gunn, Elizabeth A. Bayliss and Sally Wyke.