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SAVE THE DATE: November 6th & 7th, 2019

More information about the upcoming conference soon.

Prehabilitation & CPET

CPET workshop & Prehabilitation Symposium: 
Incorporating POETTS (UK) accredited CPET course

This workshop will focus on using cardiopulmonary exercise testing (CPET) for preoperative risk stratification and prehabilitation (optimization of modifiable risk factors) of the surgical patient. 

Prehabilitation involves proactive patient management prior to surgery with exercise programs, smoking cessation, correction of anaemia and nutritional interventions to help cope with the stress of surgery, within the context of delivering on the value proposition of Perioperative Medicine.

Note: This meeting will precede the 7th Annual Preoperative Medicine

(Periop SIG) Symposium (25th - 28th October 2018)



24th & 25th October, 2018

Peter MacCallum Cancer Centre [Day 1]

Grand Hyatt Hotel [Day 2] 


(Wednesday, October 24th, 2018)


(Thursday, October 25th, 2018)

Wednesday, October 24th, 2018


This workshop will be run in collaboration with and accredited by the Perioperative Exercise Testing and Training Society (POETTS, UK – and will provide clinicians with comprehensive knowledge and skills in the conduct and interpretation of Cardiopulmonary Exercise Testing (CPET) and CPET-based exercise training for prehabilitation relevant to the perioperative period.

There will be lectures by international experts interspersed with tutorials and case discussions. The course will also have a number of CPET demonstrations with live volunteers. To facilitate close participant interaction and personalised teaching the course is capped at 40 participants. 

Venue: The 1st day of the course will be conducted at The Peter MacCallum Cancer Centre in Parkville, Melbourne (adjacent to the University of Melbourne campus) to facilitate access to CPET testing facilities.

Thursday, October 25th, 2018


Prehabilitation involves multidisciplinary interventions (exercise, haematinic, and nutritional optimisation etc.) aimed at optimising the physiological and psychological reserves of patients presenting for surgery prior to the stress of major surgery in order to achieve better post-operative outcomes.

This half-day symposium will involve international leaders and experienced researchers in the field and will provide an up to date overview of prehabilitation in relation to major surgery. You will acquire the skills and knowledge to take back to your hospital to set up a ‘prehab’ service for your own patients.

Venue: Grand Hyatt Hotel, Collins Street, Melbourne CBD.
This allows attendance of the 7th Annual Australasian Symposium of Perioperative Medicine on “Measuring, Managing and Minimising Risk” (commencing 13:00)

Major Symposium Supporter

Symposium Supporter
and Live Demonstration


Wednesday 24th & Thursday 25th October 2018


This workshop, accredited by the Perioperative Exercise Testing and Training Society (POETTS, UK –, brings together UK and Australian experts in Cardiopulmonary Exercise Testing (CPET) with a focus on its relevance to the perioperative period especially in the context of risk stratification and guiding prehabilitation prior to major surgery.

Join us in learning the essentials of performing CPET and interpreting CPET reports. You will also learn.

A dedicated Prehabilitation Symposium (Thursday, 25th October 2018) will be integrated into Day 2 of the CPET Workshop and bring together experts in the field to provide updates on the role of preoperative exercise, nutrition and correction of anaemia in preparation for surgery for deconditioned patient – an innovative approach to optimise modifiable risk factors and thereby achieve better outcomes for our patients.

The CPET Workshop and Prehabilitation Symposium will be followed on Thursday (PM) by the 7th Annual Australasian Symposium on Perioperative Medicine (



Dr Adrian Hall

Dr Adrian Hall is a Staff Specialist Anaesthetist at Princess Alexandra Hospital in Brisbane. He has been interested and involved in clinical use and research in CPX for over 20 years

Dr Hilmy Ismail

Hilmy is a Consultant Anaesthetist at the Peter MacCallum Cancer Centre in Melbourne. He has a special interest in perioperative medicine, prehabilitation of patients presenting for major cancer surgery. He is the clinical lead of the cardiopulmonary exercise testing facility at the Peter Maccallum Cancer Centre. He is a Clinical Senior Lecturer, University of Melbourne.

Andrew La Gerche

A/Prof André La Gerche MBBS, PhD, FRACP, FESC

Andre is Head of Sports Cardiology and Cardiac Magnetic Resonance Imaging at the Baker Heart and Diabetes Institute Melbourne. He is also a clinical cardiologist working at the Alfred Hospital and St Vincent’s Hospital Melbourne. He is an NHMRC Early Career Fellow and a NHF Future Leader Fellow.

Major research interests can be summarised as: “exertional symptoms require assessment during exertion” reflecting the fact that resting imaging is a poor surrogate of functional limitation. Andre has developed novel echocardiographic and CMR methodologies for assessment of the right ventricle and pulmonary circulation during exercise. These have been applied to the assessment of heart failure, congenital heart disease, pulmonary hypertension and athletes. He has over 100 peer-review publications and text-book chapters including publications in Circulation and the European Heart Journal.

Andre completed a PhD at the University of Melbourne and 4 years of post-doctoral research at the University Hospital of Leuven, Belgium studying the effect of endurance exercise on the heart. In particular, exercise CMR was used to understand the mechanisms of right ventricular arrhythmias. 

Denny Levett bio photo_8_2018.png

Dr Denny Levett



Denny is an Honorary Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust.


She leads the perioperative medicine service at UHS including a pre-operative CPET service, a surgery school and prehabilitation. Denny has extensive clinical and research experience in cardiopulmonary exercise testing (CPET).  She is president of the newly established Perioperative Exercise Testing and Training Society (POETTS) and she established and has chaired the National Perioperative Cardiopulmonary Exercise Testing course in the UK biannually since 2009.  She is part of the Fit 4 Surgery research group, investigating exercise as a method of prehabilitation before major surgery in clinical trials.  


Denny was the Association of Anaesthetists Research Fellow and her PhD thesis involved evaluating exercise capacity at up to 8000m on Mount Everest as a member of the climbing team on the Caudwell Xtreme Everest Expedition.  She was the Deputy Research Leader for this altitude field study of hypoxia adaptation and the follow up expedition Xtreme Everest 2, investigating exercise efficiency in Sherpas (

Adj. Prof. Paul Older


Senior Lecturer University of Melbourne. Honorary Consultant Department of Anaesthesia Western Hospital, Melbourne 

Adjunct Professor Swinburne University of Technology Melbourne 

Executive Director ISEIRE Inc 

Paul was trained in the UK at Guys Hospital and later in Brighton and Southampton where he obtained his FFARCS (FRCA). Whilst in the UK he wrote some papers on anaesthesia. He also became involved in Motor Rallying and drove in major events in both England and in Europe.  He was invited by Professor Joseph to come to Sydney and work at Royal Prince Alfred where he became involved with the renal transplant team. He went to Vietnam in 1971 to work as an anaesthetist and intensivist. 

He was invited to compete in the Ampol Round Australia Rally in which he drove a works Volvo which was prepared in Sweden. He later competed in the Dulux Round Australia Rally in a BMW that was prepared with all Alpina parts. Later he competed in many Australia Rallies in BMW. Later he drove a BMW, with German factory assistance, with great success in Motor Racing. 

Later he became the President of the Australian Cutting Horse Association and bred Quarter Horses for this sport. 

He was awarded his MD from Melbourne University. 

He, as Director of ICU, and Dr Bob Smith, then Director of Anaesthetics, became heavily involved with the use of CPET for preoperative evaluation. This was extremely successful and Paul became the Executive Director of the International CPET Society. He holds this position today and Paul now lectures all over the world on CPET. He lives on a horse property in Gippsland with his family.

Dr. Maree Brinkman

Dr. Maree Brinkman is an active academic researcher, as well as a Registered Practising Dietitian in Melbourne, Australia. Her

research interests lay in diet and disease associations, focusing predominantly on dietary interventions involved in the prevention and management of cancer.

Maree completed her Bachelor of Science majoring in Nutrition at Latrobe University, and followed this with a master’s degree in Nutrition and Dietetics at Deakin University and a PhD in Biomedical Sciences at the Katholieke Universiteit Leuven, Belgium where she worked in research for several years.

She is an Assistant Professor at the Care and Public Health Research Institute within Maastricht University in The Netherlands, and holds an honourary research fellowship at the Cancer Council Victoria in Nutritional Epidemiology.

Professor Bernhard Riedel

Bernhard is an anaesthetist with a special interest in cancer anaesthesia. He currently serves as the Director for the Department of Anaesthesia and Pain Medicine at Peter MacCallum Cancer Centre in Melbourne and holds an honorary academic appointment at the University of Melbourne. Bernhard has published extensively (>100 publications) and is the editor of a comprehensive textbook on Acute Care for the Cancer Patient and Guest Editor for Cancer and Anaesthesia, In: Best Practice & Research Clinical Anesthesiology. His research interests focus on improving perioperative outcomes; with emphasis on improved preoperative risk stratification (exploring the role of endothelial function and exercise stress testing) and the role of perioperative strategies (including prehabilitation with exercise) to reduce complications after surgery, including long-term outcomes after cancer surgery.

A/Prof Prue Cormie

Associate Professor Prue Cormie is an accredited exercise physiologist whose research and clinical work focuses on the application of exercise as medicine for the management of cancer. She is the lead author on the Clinical Oncology Society of Australia position statement on exercise in cancer care and has authored over 70 scientific journal publications. A/Prof Cormie aims to enhance the lives of people with cancer through innovative research and effectively translating research into practice.


Dr Rachel Shanks

I am an anaesthetist and the clinical lead of Perioperative Services at University Hospital Geelong. I have been involved in our CPET service since 2011 and have a keen interest in risk assessment and pre-operative optimisation for patients having major cancer surgery.


Mike Swart

Dr Michael Swart is a Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital, Devon, United Kingdom. He is also an advisor to the UK Department of Health for the Enhanced Recovery Programme.

Over the last thirteen years Michael has been using cardiopulmonary exercise testing to learn how to assess high-risk surgical patients. He now uses this as part of the evaluation preoperatively to help patients with decision making and planning postoperative critical care. It has led into running a surgical patient high risk clinic and helped develop consultation skills that are centred on patients making shared or collaborative decisions on their heath care.



Day 1: Peter MacCallum Cancer Centre,
305 Grattan Street, Melbourne VIC 3000


There are many transport options, as well as a multi-story car park beneath the building. The car park is open from 6am and to 8pm daily and is accessible only from Flemington Road. For further information regarding public transport please click here.

Day 2: Grand Hyatt Hotel,
123 Collins Street, Melbourne VIC 3000

Peter Mac’s new home is located at one of Melbourne’s most important sites on the corner of Flemington Road and Elizabeth Street; it is a gateway to the city and to Melbourne’s health and research precinct. The new site will be housed within the recently-opened Victorian Comprehensive Cancer Centre building, at the intersections of Grattan Street, Elizabeth Street and Flemington Road, Melbourne.

The Workshop, including the Registration Desk will be located on Level 7 which is accessible by the Public Lifts located in the Welcome Hall.



Attendance for the entire Perioperative

SIG meeting requires full registration and this meeting is independent of our CPET Prehabilitation Symposium.



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