Program for Thursday May 02, 2019

Other Session

AGS MEMBERS BUSINESS MEETING

  • Date:
  • Time: 7:30am - 8:00am
  • Track: Networking
  • Location: Hall B

Meeting of the AGS membership. reports on the status of AGS 2018, highlights and introduction of the new President, Board members, and new AGS Fellows. 

Opening Remarks and Announcements
Reena Karani, MD, MHPE, 2019 Annual Meeting Program Chair

Treasurer’s Report

Recognition of Outgoing Committee Members

Incoming President’s Address

Recognition of New AGS Fellows

Other Session

A DEMENTIA-SPECIFIC ADVANCE DIRECTIVE: MEDICAL, LEGAL, AND ETHICAL CONSIDERATIONS

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Ethics
  • Location: Portland Ballroom 256-257
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Sponsored by the Ethics Committee

Moderator: Ramona Rhodes, MD, MPH, MSCS

This session will focus on the legal, ethical, and clinical complexities associated with advance care planning for patients with dementia and possible ways to address those issues. Learning Objectives: (1) identify some of the legal ramifications and complexities associated with a dementia- specific advance directive; (2) identify how this form of advance directive intersects with ethical principles including patient autonomy, beneficence, nonmaleficence, and justice; (3) discuss the components of decision making capacity evaluation and review various laws related to patient or residents’ rights in this regard; and (4) discuss specific ethical dilemmas related to advance care planning in this population.

Death with Dignity: The Legality of a Dementia Living Will
Debra G. Simms, MSSW, JD

The Ethical Implications of a Dementia-Specific Advance Directive
Daniel P. Sulmasy, MD, PhD

Interpretation of Advance Directives for Patients with Dementia: An Overview
Verna R. Sellers, MD, MPH, CMD, AGSF


           

Section Meeting

FELLOWS-IN-TRAINING BREAKFAST

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Networking
  • Location: Portland Ballroom 254

Chair: Christian Bergman, MD

Please join other fellows, faculty members, and leaders in geriatrics at the annual Fellows-in-Training Breakfast. This event is a unique opportunity to share and discuss ideas, past experiences, and future career plans while networking with colleagues and mentors from all across the country.

Symposia

GERIATRIC EDUCATION MATERIALS AND METHODS SWAP I

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Education
  • Location: Portland Ballroom 252
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Sponsored by the Teachers Section and the Education Committee   

Moderator: Rebecca Starr, MD, AGSF

This workshop presents a forum for teachers of geriatric education to share topics and materials of common interest, such as program development, curriculum, educational process and research in teaching and evaluation.  Learning Objective: (1) describe and exchange geriatric education and teaching materials.

Sustainable Competency Based Curriculum for Medical Students on Taking a Medication History
Maria H. van Zuilen, PhD, AGSF

Bringing Geriatrics to a Pediatrics Clerkship!
Shelley B. Bhattacharya, DO, MPH

Using Standardized Patients to Teach Medication Management in Older Adults Among Third Year Medical Students
Michele Y. Lee, MD

Are Medical Students Well Trained for Interdisciplinary Format of Medical Education?
Kalpana P. Padala, MD

 

Other Session

HOW TO BUILD A BUSINESS CASE FOR BECOMING AN AGE-FRIENDLY HEALTH SYSTEM

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Models of Care
  • Location: Portland Ballroom 253
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Moderator: Terry Fulmer, PhD, RN, FAAN

The program is designed for geriatrics professionals from all disciplines who seek to spread the evidence-based practices of geriatric specialties across their health system through the development of a business case for leadership.   Learning Objectives: (1) describe the elements of an age-friendly health system (the 4Ms); and (2) develop a business case in their own health system.

Developing UCSF's Business Case for Becoming an Age-Friendly Health System
Stephanie E. Rogers, MD, MS, MPH

The Age-Friendly Health System Model and Its Business Case
Leslie J. Pelton, MPA

Section Meeting

NURSES BREAKFAST

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Networking
  • Location: B115-B116

Chair: Margaret I. Wallhagen, PhD, GNP-BC, AGSF

Join other nurses, nursing students, and AGS leaders at this special breakfast session.  The breakfast will also include time for networking and presentations by AGS nursing leaders.  

Section Meeting

PHARMACISTS BREAKFAST

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Networking
  • Location: B112

Chair: Todd Semla, PharmD, MS

The Pharmacists Breakfast is an opportunity for pharmacist members of AGS to network and discuss ways to collaborate. A discussion of leadership opportunities within AGS will also be a priority for the meeting.

Section Meeting

SOCIAL WORKERS BREAKFAST

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Networking
  • Location: B110-B111

Chair: Dawn E. Butler, JD, MSW

Please join other social workers and social work students at the Social Workers Breakfast session. This session will provide an opportunity to meet, network, and collaborate with other social workers in the field of aging.  The session will also include opportunities to discuss experiences and projects related to collaborations between health care systems and community-based organizations. 

Symposia

THE ABCS OF NIA GRANTSMANSHIP - FOR EARLY STAGE RESEARCHERS AND THEIR MENTORS

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Research
  • Location: B113-B114
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Sponsored by the National Institute on Aging for new and early stage researchers in cooperation with the AGS Research Committee

Moderator: Marie A. Bernard, MD

The symposium is intended for investigators with current research training or career development awards, including “T,” “F,” or “K” funding, or GEMSSTARs.  It is also intended for individuals who are interested in learning about these types of grant opportunities. The session targets the needs of new and early stage investigators by providing an overview of NIA’s extramural research programs and initiatives, including a focus on emerging opportunities across NIA for Alzheimer’s and related dementias research. Funding and training opportunities, the Center for Scientific Review grants review process, and experiences of an early career researcher will also be featured. Participants will have an opportunity to meet and consult with representatives from NIA.   Learning Objectives: (1) describe the NIA mission and extramural divisions supporting early stage investigators in clinical, biomedical, neuroscience, and behavioral and social research; (2) discuss recent policy changes which affect the funding environment; (3) identify NIA’s resources for research training and grant application; and (4) meet with representatives of NIA.

NIA Research Priorities and Opportunities for Early Career Researchers
Marie A. Bernard, MD, Deputy Director, National Institute on Aging

How to Get an NIA Grant
Robin A. Barr, DPhil, Division Director, Division of Extramural Activities

Viewpoints from Junior Faculty Researchers
Lee A. Jennings, MD, MSHS & Andrew B. Cohen, MD, PhD

Meet with NIA Representatives

Other Session

THE BIG SCREEN PAPER SESSION

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Research
  • Location: Portland Ballroom 255
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Sponsored by the Research Committee 

Moderator:  Susan M. Friedman, MD, MPH

Come and learn about new research on screening for risk of delirium, falls, frailty and functional decline in geriatric care. This session will present the latest peer-reviewed geriatrics research with questions and answers to follow.  Learning Objectives: (1) discuss new and original geriatrics research; (2) describe an emerging concept or new scientific focus in aging research; and (3) summarize the key findings of projects with relevance to care of older adults.

P1 – Electronic Frailty Index Predicts Increased Length of Stay, Discharge Destination, and   Delirium Risk in Older Surgical Patients
Nicholas M. Pajewski, PhD

P2- 4AT Delirium Screen Status Correlates with Fall Rates
Kevin Shih, MD

P3 – Stratified Fall Risk Facilitates Personalized Care from a 60 Second Test
Katharine E. Forth, PhD

P4 - Predictors of Functional Decline among Older Intensive Care Unit (ICU) Survivors
Lauren E. Ferrante, MD, MHS

This session features research from a colleague supported by the AGS Health in Aging Foundation.

Looking for more Foundation-supported work at #AGS19? Click here for a custom roadmap.

Symposia

THE GERIATRICS WOUND SYNDROMES YOU DIDN’T KNOW ABOUT! HOW GERIATRICS PRINCIPLES CAN BE APPLIED TO DIABETIC FOOT ULCERS, VENOUS LEG ULCERS, AND SURGICAL WOUND COMPLICATIONS

  • Date:
  • Time: 8:15am - 9:15am
  • Track: Clinical Practice
  • Location: Portland Ballroom 251 & 258
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Sponsored by the Wound Prevention and Management Special Interest Group

Moderator: Kenneth Schmader, MD

This symposium is designed to discuss innovative technology, practical tools, and surgical practices that will help geriatrics clinicians tackle these common but complex chronic wounds. Learning Objectives: (1)

recognize factors that change the foot in older adults and offer potential solutions for safe offloading; (2) determine best treatment strategies for venous leg ulcers in a frail older adult; and (3) identify modifiable risk factors in older adults undergoing surgical procedures to prevent surgical site complications and determine best post-operative practices in acute wound care.

Aging and Foot Biomechanics
Bijan Najafi, PhD, MSc

The Geriatrics Syndromes that No One Talks About: Venous Leg Ulcers
E. Foy White-Chu, MD, CWSP, AGSF

Surgical Complications in Older Adults – The Case for Multidisciplinary Teams that   Include Geriatrics Clinicians
Lisa J. Gould, MD, PhD

 

Other Session

PLENARY PAPER SESSION

  • Date:
  • Time: 9:30am - 10:15am
  • Track: Research
  • Location: Hall B
  • CME/CE: 0.75 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Sponsored by the Research Committee 

Moderator: Sunny A. Linnebur, PharmD, FCCP, BCPS, BCGP

This session will present the top three research abstracts based on average score, quality, originality and methodology of research.  Learning Objectives: (1) describe emerging concepts or a new scientific focus in aging research; and (2) summarize the key findings of research with relevance to care of older adults

P5 - Spinal Surgery for Degenerative Spine Disease - Opioid Prescription Filling Patterns in Geriatric Patients
Anthony V. Nguyen, BA

P6 - Clinical Outcomes of Intensifying Older Adults’ Antihypertensives at Hospital Discharge
Timothy Santeler-Anderson, MD, MAS, MA

P7 - Development of a Practical Two-Stage Frailty Assessment for Older Adults Undergoing Aortic Valve Replacement
Anthony Maltagliati, MS

 

Other Session

TIME’S WAY UP! ADDRESSING PAY INEQUITY AND DISCRIMINATION FOR WOMEN IN GERIATRICS

  • Date:
  • Time: 10:15am - 11:15am
  • Track: Public Policy
  • Location: Hall B
  • CME/CE: 1.0 - AMA Credits, CMD Clinical Credits, Nursing Credits, Pharmacy Credits

Moderator: Sunny A. Linnebur, PharmD, FCCP, BCPS, FASCP, BCGP

Speakers: Rebecca S. Boxer, MD; Mary T. Dierich, PhD, APRN, CNP; Aanand D. Naik, MD; Mary A. Norman, MD

Developed by the Public Policy Committee and the Women in Geriatrics Section

Women have come a long way in the workplace, but gender inequity persists across all professions and industries. Geriatrics is no exception. A writing group comprised of AGS Public Policy Committee and Women in Geriatrics Section members have been working to develop a position paper focused on how we can achieve equity for women of all disciplines working in geriatrics. This session presents findings from the writing group’s research and recommendations for a path forward.  Learning Objectives: (1) describe challenges faced by women in geriatrics including equity in compensation, career advancement, and promotion; (2)  recognize implicit biases, system-wide policies, and other factors that disadvantage women in geriatrics; and (3)  discuss ways to achieve gender equity in geriatrics, helping everyone to flourish in a career caring for older people.

Workshop

CLINICAL SKILLS WORKSHOP: JOINT INJECTIONS I

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Clinical Practice
  • Location: B112
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Facilitators: Shobhana A. Chaudhari, MD, FACP, AGSF; Ashok P. Chaudhari, MD; Estrella Roffe, MD, AGSF; Julio A. Martinez-Silvestrini, MD; Julio A. Martinez-Silvestrini, MD

After a brief demonstration of joint injection techniques by faculty, participants will practice the injections on joint models with faculty support.  Learning Objectives: (1) demonstrate ability to inject the knee; (2) demonstrate ability to inject the shoulder; and (3) demonstrate ability to inject Trochanteric Bursa.

Symposia

EMERGENCE OF GEROSCIENCE-GUIDED THERAPEUTICS: UPDATE AND ANTICIPATED IMPACT ON THE PRACTICE OF GERIATRIC MEDICINE

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Research
  • Location: Portland Ballroom 256-257
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Sponsored by the Research Committee and the Geroscience Special Interest Group

Moderator: Marie A. Bernard, MD

This symposium will be of interest to all AGS attendees who are actively involved in the care of older adults, with additional relevance for attendees who play significant roles in geriatric education, fellowship training or research.  Learning Objectives: (1) describe the manner in which geroscience-guided therapeutics are discovered and validated; (2) critically evaluate claims pertaining to geroscience-guided therapeutics and as a result, better inform their own decision-making process and that of their patients; and (3) better ensure that they, their colleagues and trainees will be ready to function as consultants and make evidence-based high level recommendations pertaining to geroscience-guided therapeutics in future years.

Geroscience-Guided Therapeutics: State-of-the-Art and May 2019 Update
James L. Kirkland, MD, PhD

Geroscience-Guided Therapeutics: Could this Revolutionize how Geriatricians Practice and Train?
George A. Kuchel, MD

Other Session

HEALTH SERVICES AND POLICY RESEARCH PAPER SESSION

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Research
  • Location: Portland Ballroom 255
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Moderator: Daniel R. Berlowitz, MD

This session will present the latest peer-reviewed geriatrics research with questions and answers to follow.  Learning Objectives: (1) discuss new and original geriatrics research; (2) describe an emerging concept or new scientific focus in aging research; and (3) summarize the key findings of projects with relevance to care of older adults.

P8 - State Variation in Rates of Hospice Use Among Assisted Living Resident Decedents
Kali Thomas, PhD

P9 - U.S. House Call Practices in 2014: Mismatch of Providers, Practices, and Patients
Alyson R. Michener, MD & Linea Pepper, MD           

P10 - Validation of a Health System Measure to Capture Aggressive Hypertension Care
Lillian Min, MD, MSHS

P11- Continuity of Care and Health Care Cost among Community-Dwelling Older Adult Veterans Living with Dementia
Lianlian Lei, MA

This session features research from colleagues supported by the AGS Health in Aging Foundation.

Looking for more Foundation-supported work at #AGS19? Click here for a custom roadmap.

Other Session

INCORPORATION OF GERIATRIC SIMULATION INTO EDUCATION AND TRAINING PROGRAMS FOR STUDENTS AND HEALTH PROFESSIONALS ACROSS DISCIPLINES

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Education
  • Location: B113-B114
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Sponsored by the Education Committee and the Teachers Section

Moderator: Lynn M. Wilson, DO

The goal of this session is to deliver content that will foster geriatric training through simulation activities for health occupation students and health professionals across disciplines. Learning Objectives: (1) design education and training activities involving geriatric simulation; and (2) describe how geriatric simulation activities can reduce negative attitudes toward aging in healthcare.

Addressing Negative Attitudes toward Aging in Health Occupation Students and         Professionals through Geriatric Simulation
Lynn M. Wilson, DO

Impact of Geriatric Simulation on Student Images of Aging Scales
Dylan J. Jester, BS; Kathryn Hyer, PhD, MPP; Janet Roman, DNP, ACNP-BC, CHFN, ACHPN

Other Session

OPTIMAL PERIOPERATIVE CARE FOR OLDER ADULTS: MULTIDISCIPLINARY VIEW

  • Date:
  • Time: 11:30am - 12:30am
  • Track: Clinical Practice
  • Location: Portland Ballroom 251 & 258
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Sponsored by the Clinical Research in Dementia Special Interest Group

Moderator: Esther S. Oh, MD, PhD

This session will focus on risk factors for poor surgical outcomes and the unique challenges that older patients may encounter during the perioperative period from three different perspectives: geriatrics, anesthesiology, and surgery. Learning Objectives: (1) review risk factors for postoperative delirium and other clinical outcomes after surgery in older patients, and why some cognitively normal older adults are at high risk for poor surgical outcomes; (2) describe how anesthesiologists think about pre-operative optimization and risk stratification, intraoperative physiologic and pharmacologic management, and postoperative complication risks for older adults, with a focus on postoperative delirium and cognitive dysfunction; and (3) discuss the optimal care processes for preventing postoperative delirium.

What Makes an Older Adult Vulnerable to Poor Surgical Outcome?
Esther S. Oh, MD, PhD

An Anesthesiologist’s Perspective on Caring for Older Adults
Miles Berger, MD, PhD

Optimizing Quality of Postoperative Care of the Older Adult – The Surgeon’s Perspective
Thomas N. Robinson, MD

Other Session

PRESCRIBING OPIOIDS TO OLDER ADULTS WITH CHRONIC PAIN: ARE THERE BENEFITS OR ONLY PERILS?

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Clinical Practice
  • Location: Hall B
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Clinical Credits, Nursing Credits

Moderator: Cary Reid, MD, PhD

This symposium will focus on the consequences of the current opioid pendulum swing, review the evidence for and against use of opioids, and highlight non-opioid treatment options when managing chronic pain in older adults. Learning Objectives: (1) describe the consequences of the current opioid pendulum swing for older adults with chronic pain; (2) discuss evidence for and against the use of opioids to manage later-life chronic pain; and (3) acquire an understanding of non-opioid treatment alternatives.

The Use of Opioids in Managing Pain in Older Adults: The Baby and the Bath Water
Martin D. Cheatle, PhD

The Perils of Opioids and the Perils of Pain in Older Adults
Mark D. Sullivan, MD, PhD

 

Other Session

THE PRACTICAL SIDE OF VALUE-BASED CARE

  • Date:
  • Time: 11:30am - 12:30pm
  • Track: Models of Care
  • Location: Portland Ballroom 253
  • CME/CE: 1.0 - AMA Credits, AAFP Prescribed Credits, CMD Management Credits, Nursing Credits

Supported by a grant from Humana Inc.

Moderator: Joshua Chodosh, MD, MSHS

Learning Objectives: (1) describe healthcare landscape and need for value-based care, along with the benefits of this reimbursement model for senior patients and geriatricians; (2) review real-world insights from physicians experienced in value-based care; and (3) discuss individual needs or concerns around value-based care.

Why Value-Based Care for Geriatricians?
Freeman Tich Changamire, MD, PhD, MBA

Panel Discussion: Real-World Experiences and Insights from Physicians Practicing in Value-Based Care Models
Steven L. Phillips, MD; Michael L. Malone, MD: ; Robert Schreiber, MD