Secondary Prevention Fragility Fracture

British Columbia, Canada

Sonia is a hospital-based family physician with advanced expertise in osteoporosis and fall prevention who lives and works in beautiful British Columbia (BC), Canada. She has been the medical lead for a multi-disciplinary osteoporosis clinic in the Fraser Health Authority, BC since 2007 and started the first Fracture Liaison Service (FLS) in British Columbia at Peace Arch Hospital in 2015. In 2015 she was awarded a Fraser Health Above and Beyond Award for excellence in Evidence Based Practice. She has been a member of the Scientific Advisory Committee of Osteoporosis Canada since 2013.

Sonia is a clinical assistant professor in the Dept. of Family Practice, University of BC and an adjunct professor in the Dept of Health Sciences at Simon Fraser University. She is currently the lead investigator on an Implementation Science Research project to spread the FLS model across the province. She has been successful with a number of research grant awards from both national and provincial research granting agencies in the area of falls and fracture prevention. She has been an early adopter of the concept of patient-oriented research and actively involves patients as partners in all of her research projects.

Nelson, New Zealand

Kim trained as an Occupational Therapist in Canada in 1990 and has since moved to Nelson, New Zealand where she currently resides. She has worked in Canada, England and New Zealand in acute and rehabilitation wards, community, and private practice roles. Prior to commencing work in the Fracture Liaison Services (FLS) service area she worked in the regional and national falls prevention initiatives. Her connection with FLSs and osteoporosis management began when she worked as the FLS facilitator for our region – setting up a Fracture Liaison Service pathway shared between hospital and individual GP practices. This model has since evolved to a dedicated service-based Fracture Liaison Service model which I am in the process of establishing, as part of a wider approach to work towards consistency across all FLSs provided across NZ. Kim is also the Chair of the Fracture Liaison Network of NZ (FLNNZ) to advocate for, and network, our FLS coordinators (and soon our Clinical Leads) around New Zealand.

Sydney Australia

Robyn is a retired registered nurse who has worked across multiple settings within the public health system of NSW Australia, including acute, outpatient and community. She was accredited as a Nurse Practitioner in the final 10 years of her clinical practice. For the last 14 years of her career, Robyn worked in policy areas of the NSW Department of Health, overseeing chronic care activities in NSW, and latterly for 10 years at the NSW Agency for Clinical Innovation (ACI). ACI is a support organisation of the NSW health system that works with clinical teams across the health system to determine better ways of providing care that is informed by the evidence but is applicable to local care settings. Her work at the ACI focused on musculoskeletal health care needs inclusive of developing, implementing and evaluating a model of care for people requiring Osteoporotic Refracture Prevention care – see https://aci.health.nsw.gov.au/resources/musculoskeletal/osteoporotic_refracture/orp At the outset of the work there were 4 FLSs in NSW – locally known as Osteoporotic Refracture Prevention (ORP) Services. In 2022 the model of care is now a policy in NSW which means that all major hospitals in NSW have to provide an ORP service. Thus ORP services are now available system-wide! The ongoing challenge is to consolidate these services with the aim of meeting the KPIs set by IOF, FFN and other international organisations – see https://link.springer.com/article/10.1007/s00198-020-05377-1

Robyn is currently representing nurses on the FFN Board and the lead for the FFN Secondary Fragility Fracture Prevention Special Interest Group.

Bangkok Thailand

Wararat is a registered nurse who works at the Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand. She works in an orthopaedic operation theatre she was the orthopaedics OR manager during 2013-2015. Wararat has served as one of the AO trauma regional faculty Asia-Pacific since 2000. Wararat has been the nurse coordinator of the Siriraj-Fracture Liaison Service (Si-FLS) since 2016 and is engaged in many important steps of the Si-FLS, including facilitating the interdisciplinary team rounds; coordinating information and care requirements with other health care providers; fostering peer support; and providing continuous education to the multidisciplinary team. Wararat is now a member of the Thai Orthopaedic Nurse Society and serves as a committee member of theFragility Fracture Network-Thailand. She is also a surveyor of Hospital Accreditation Institute of Thailand since 2016. Her research activities include being a member of the working group that has been working on a ”Pilot project for elderly hip fracture surgery development in Thailand”since 2020.

Adelaide Australia

Tasha is an Accredited Practising Dietitian (APD) having studied Bachelor of Nutrition and Food Science at University of South Australia and completed Master of Nutrition and Dietetics at Flinders University. She has had experience across both acute and subacute clinical workloads in the public health system in South Australia, and also works privately. Currently she works within the Rehabilitation, Aged Care and Palliative Division of the Southern Adelaide Local Health Network (SALHN). Tasha works within various adult and geriatric rehabilitation teams and is the dietitian for the SALHN FLS. She has a genuine interest in the management of osteopenia osteoporosis and secondary fracture prevention, and the role that nutrition can play in this. Tasha has a passion for client-centred care and early intervention, in advocating for better health and rehabilitative pathways, and engaging clients to be active participants in their care. As a member of the FFN Secondary Fracture Prevention SIG Tasha hopes to support the working group and the FFN members more broadly with knowledge and concepts/feedback of how FLS may look from the eyes of someone actively involved in service provision. She is also eager to gain more knowledge and skills, participate in research, and build relationships with the skilled members of the SIG!

Oxford United Kingdom

DrJavaid is an adult rheumatologist at the Oxford University Hospitals NHS trust and an Associate Professor in metabolic bone disease at the University of Oxford. He specialises in clinical and research of common and rare metabolic bone diseases. He is the clinical lead for Oxford Fracture Prevention Service and the national Fracture Liaison Service Audit for England and Wales run through the Royal College of Physicians. Internationally, he co-chairs the International Osteoporosis Foundation Capture the Fracture programme that has audited over 400 services globally. He is clinical lead for the Oxford Rare bone disease service for adults and the national 100,000 Genomes Clinical Interpretation partnership for musculoskeletal conditions. His research interests include the epidemiology of musculoskeletal diseases with a focus on rare diseases of the bone, vitamin D and secondary fracture prevention.

Mineiro Brazil

Julianais a physiotherapistwhohas a PhDinGerontology. Sheis a professoratthe Department of PhysicalTherapy of Federal University of TrianguloMineiro, Brazil. Juliana teaches and researches public health, healthy aging and longevity, with a focus on primary health care. She aims to address issues related to the care provided to older population by the health system, as well as the social inequalities and psychosocial determinants of functioning and mortality. She has been working on the validation of assessment instruments for hospitalised older adults with hip fracture and coordinates an epidemiological and multicenter study to investigate factors associated with functional decline and mortality after hip fracture. She is member of the Brazilian FFN Physiotherapy committee that is investigating the role of physiotherapists in Brazil concerning the care of older patients with fractures. Her work has been dedicated to understanding the profile and itinerary of patients in the health system to develop and implement lines of care (Liaison) for older adults after fracture, aiming at preventing secondary fractures and promoting quality of life, by supporting primary health care.

Delft Netherlands

Peter van den Berg was born in and still resides in Delft, Netherlands. He started his nursing training at the St. Hippolytus Hospital Delft and after obtaining the diploma (1981), he further specialised as a nurse cast technician (Leiden University Hospital (1986)), obtained a nursing Management degree at the Leiden Hogeschool (2005) and finally the degree of Master of Advanced Nursing Practice (Leiden Hogeschool 2007). He is currently working as a coordinating nurse practitioner at the Fracture Liaison Service of the Reinier de Graaf Gasthuis, Delft.
In January 2014, he started his PhD project at the Maastricht University Medical Center, which resulted in a thesis defended in 2020.
Currently he is taking part in a Governmental multidisciplinary working group (Zorginstitiuut) regarding Dutch secondary fracture prevention and osteoporosis care and he is a member of the follow-up group on the new Dutch guideline on secondary fracture care and falls prevention. Recently he completed training as an IOF Capture the Fracture mentor. He is chairman of the Dutch nurses and nurse practitioners’ association in secondary fracture prevention and osteoporosis care organized through the national Professional Association Falls, Fracture and Osteoporosis.

Taipei Taiwan

Professor Derrick Chan is Vice Superintendent of the National Taiwan University Hospital, Hsin-Chu Branch and Executive Director of National Taiwan University Hsin-Chu Hospital, Hsinchu, Taiwan. He is also an attending physician at the Department of Geriatrics and Gerontology, and Clinical Professor of Internal Medicine at National Taiwan University Hospital, Taipei, Taiwan.
In 2014, Prof Chan played a central role in establishing Fracture Liaison Services (FLS) at National Taiwan University Hospital and its Bei-Hu branch. The programs were awarded Gold and Silver Stars, respectively, by the International Osteoporosis Foundation’s (IOF) Capture the Fracture® program.

Prof Chan has since been working with the Taiwanese Osteoporosis Association to host workshops to expand the FLS network in Taiwan.
In March 2017, the Taiwan FLS network received the Best Secondary Fracture Prevention Campaign Award at the World Congress on Osteoporosis, Osteoarthritis, and Musculoskeletal Diseases (WCO-IOF-ESCEO) in Florence, Italy. Prof Chan also worked with international and regional experts to publish the “Consensus on Best Practice Standards for Fracture Liaison Service in the Asia-Pacific Region” in 2018.