Program for Thursday May 02, 2019

Poster Session

POSTER SESSION A

  • Date:
  • Time: 12:30pm - 1:30pm
  • Track: Research
  • Location: Exhibit Hall

View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions.

Other Session

THURSDAY LUNCH BREAK

  • Date:
  • Time: 12:30pm - 1:30pm
  • Track: Networking
  • Location: Exhibit Hall

Complimentary lunch available in the exhibit hall beginning at 12:30.

Other Session

ADGAP BUSINESS MEETING

  • Date:
  • Time: 1:30pm - 3:00pm
  • Track: Networking

Other Session

AGS COCARE ORTHO EDUCATION MODULES: FRACTURES FOR NON-SURGEONS AND PRE-OPERATIVE EVALUATION

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Models of Care
  • CME/CE: 1.0

Sponsored by the Geriatric-Surgical Co-Management Special Interest Group

Moderator: Lynn McNicoll, MD

Geriatrics and medical professionals interested in developing or improving hospital based geriatrics co-management programs with surgical specialties would benefit from this informational session.  Learning Objectives: (1) describe basic and appropriate fracture care for the most common types of hip fractures; (2) delineate key components of pre-operative evaluation and risk stratification for hip fracture patients; (3) devise strategies for effectively using the AGS CoCare: Ortho curriculum; and (4) identify barriers for geriatric fracture co-management.

Fractures for Non-Surgeons: What You Need to Know as Medical Co-Managers
Arvind D. Nana, MD, MBA

Preoperative Risk Stratification: Improving Efficiency and Standardization
Nadia Mujahid, MD, CMD

AGS CoCare: Ortho Program and Curriculum Benefits and Strategies
Daniel Ari Mendelson, MS, MD, FACP, AGSF, CMD

Other Session

COMMUNICATING WITH PATIENTS AND CAREGIVERS ABOUT DEPRESCRIBING

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Sponsored by the Polypharmacy Special Interest Group, Clinical Research in Dementia Special Interest Group, Clinical Practice and Models of Care Committee, Public Education Committee

Moderator: Noll L. Campbell, PharmD, MS

Learning Objectives: (1) describe the interrelation of patient and clinician barriers and enablers of optimal medication use to foster shared decision making; (2) demonstrate linguistic pitfalls and effective language to use when initiating conversations about deprescribing with patients and caregivers, focusing on discussing concepts such as tradeoffs of medication use, time horizon to benefit and clinical equipoise; and (3) identify examples of patient-centered, team-based interventions to facilitate communication and shared decision making about medication use among patients, caregivers, clinicians and pharmacists.

How Do Older Adults and Caregivers Feel about Deprescribing and Can Consumer-    Directed Interventions Enhance Deprescribing in Practice?
Emily Reeve, BPharm, PhD

What We Talk about When We Talk about Deprescribing: Clinician Communication about Medicines with Cognitively Impaired Older Adults and Their Caregivers
Ariel Green, MD, MPH

Implementing an Interdisciplinary Medication Safety Program for Older Patients in    Federally-Qualified Community Health Centers
Kamal C. Wagle, MD, MPH, CMD

Communication Lessons from the Deprescribing Trenches: It Takes a Team
Marcia C. Mecca, MD

Other Session

GERIATRIC EDUCATION PAPER SESSION

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Research
  • CME/CE: 1.0

Sponsored by the Research Committee

Moderator: Reena Karani, MD, MHPE

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.

P12 - Transforming Undergraduate Student Perceptions of Dementia through Collaborative Filmmaking: Intergenerational Films about Music and Memory®
Jennie M. Gubner, PhD

P13 - Improving Geriatric Primary Care through Interprofessional Teamwork and Practice                  Improvement Training
Gwendolen T. Buhr, MD

P14 - Evidence-Based Falls Prevention Training at Hunter Holmes McGuire Veterans Medical Center
Leland H. Waters, PhD

P15 - Training Dementia Resource Champions in Faith-based Communities: Feasibility and   Lessons Learned
Shellie N. Williams, MD

 

Other Session

LEADERSHIP CURRICULUM: DEVELOPING A FINANCIAL VOCABULARY

  • Date:
  • Time: 1:30pm - 3:00pm
  • Track: Professional Development
  • CME/CE: 1.5

Moderator: Kyle R. Allen, DO

Speakers: Robert A. Zorowitz, MD, MBA, CMD & & Robert Schreiber, MD

Learning Objectives: (1) review language and terminology to effectively communicate a business case; (2) discuss the purpose and meaning of a value proposition; (3) utilize tactics to effectively present and win a financial case; and (4) gain basic understanding of a P&L statement.

Symposia

NIA SYMPOSIUM FOR RESEARCHERS AT MID-CAREER AND BEYOND – OPPORTUNITIES FOR ESTABLISHED RESEARCHERS

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Research
  • CME/CE: 1.0

Sponsored by the National Institute on Aging in cooperation with the AGS Research Committee

This symposium is intended for independently funded researchers at a mid- to senior career level. It targets the needs of research leaders and established investigators by providing an update from NIA staff on research programs and initiatives.  A question and answer session will follow brief introductory remarks on current funding, new opportunities including those related to Alzheimer’s Disease and Related Dementias, and future priorities and research directions of NIA.  Learning Objectives: (1) describe the current and future research foci of the NIA extramural divisions; and (2) discuss the current funding environment.

Overview of NIA Budget, and Priority Areas
Marie A. Bernard, MD, Deputy Director, NIA

NIA Café
NIA representatives will move to designated tables, organized by division.  Participants will have an opportunity to visit different tables to interact with NIA representatives in small groups or individual conversations.
Evan C. Hadley, MD, Director, Division of Geriatrics and Clinical Gerontology
John G. Haaga, PhD, Director, Division of Behavioral and Social Research
Robin A. Barr, DPhil, Director, Division of Extramural Activities
Francesca Macchiarini, MS, PhD, Division of Aging Biology
Molly V. Wagster, PhD, Division of Neuroscience
Carl Hill, PhD, Director, Office of Special Populations

Symposia

TO ERR IS HUMAN: THE GOOD, THE BAD, AND THE UGLY

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Ethics
  • CME/CE: 1.0

Sponsored by the Ethics and Clinical Practice and Models of Care Committees

Moderator: Kevin T. Foley, MD, AGSF

This symposium will be of interest to all providers who care for older adults and especially those who could be named in a malpractice lawsuit.  Learning Objectives:  (1) describe professional liability risk involving the care of older adults and events and circumstances that may lead to malpractice claims and the providers’ responsibility to disclose medical errors when they occur; (2) describe when a medical apology is warranted, how to conduct medical apology meeting, and create appropriate documentation; and (3) illustrate the impact, phases, and consequences of a filed legal claim to prepare providers to react appropriately and understand what to expect.

You’ll Hear from My Lawyer! Update on Geriatric Malpractice Risk
Kevin T. Foley, MD, AGSF

Whoooo’s Sooorrry Now?
Timothy W. Farrell, MD, AGSF

I’m Being Sued… Aye Carumba!
Randy J. Hackney, JD

Workshop

CLINICAL SKILLS WORKSHOP: JOINT INJECTIONS II

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Facilitators: Shobhana A. Chaudhari, MD, FACP, AGSF; Ashok P. Chaudhari, MD; Estrella Roffe, MD, AGSF; 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.

Other Session

CPT CODING: BASIC PRINCIPLES AND PRACTICE

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Speaker: Peter A. Hollmann, MD

This session will help the attendee become aware of coding that is especially relevant to geriatrics health care professionals. Specific topics that will be addressed include: new CPT and HCPCS codes, E/M documentation guidelines and how to assess whether you are not charging for all your services.  Learning Objectives: (1) describe basic coding principles; (2) discuss key Medicare payment rules; and (3) interpret how to relate these to practice management.

Workshop

ENSURING RESEARCH IS RELEVANT: PRACTICAL STRATEGIES TO SUPPORT INCLUSION OF OLDER ADULTS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Research
  • CME/CE: 1.0

Developed by the Research Committee

Moderator:  Elizabeth Maria Goldberg, MD, ScM

Facilitator: Camille P. Vaughan, MD, MS

Workshop attendees will exchange best practices for overcoming barriers to recruiting and retaining medically complex older adults, including those with cognitive impairment, in research, and collaborating with investigators from other specialties to ensure research and clinical trials meet the new Inclusion across the Lifespan policy.  Learning Objectives: (1) describe the elements of the new NIH Inclusion Across the Lifespan Policy; (2) discuss stakeholders and resource infrastructure that should be considered when planning and executing research that includes older adults; (3) review the unique perspectives of older adults being recruited for research studies and how these perspectives can be incorporated when planning your own study; and (4) identify strategies for disseminating best practices in recruiting and retaining older adults with and without cognitive impairment in prospective studies.

Understanding Non-Geriatrician Specialist Perspectives to Assist with the Planning and Executing of Research Involving Older Adults
Barrett Bowling, MD, MSPH

Perspectives on Recruitment and Retention of Older Adults in Residential Care for Clinical Trials
Mary P. Kotlarczyk, PhD

Designing and Conducting a Successful Trial of Older Adults
Thomas M. Gill, MD

Other Session

EPIDEMIOLOGY PAPER SESSION

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Research
  • CME/CE: 1.0

Developed by the Research Committee

Co-Moderators:  Susan Hardy, MD & Shelly L. Gray, PharmD, MS

This session will present the latest peer-reviewed geriatrics research with questions and answers to follow.  Learning Objectives: (1) discuss new and original research in geriatrics; (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.

P16 – Suicides Among Older Adults Aged 65 and Over in the United States, 2007-2017
Hanyu Ni, PhD

P17 – Deprescribing Hypoglycemic Agents Among Older Veterans with OvertreatedDiabetes and Limited Life Expectancy in Veterans Affairs (VA) Nursing Homes
Carolyn T. Thorpe, PhD, MPH

P18 – Free Androgen Index and 20-Year Cognitive Decline in the Atherosclerosis Risk in Communities (ARIC) Study
Chloe K. Ferris, BS

P19 - Binge Drinking Among Older Adults – United States, 2015-2017
Benjamin H. Han, MD, MPH

 

Other Session

GERIATRIC MENTAL HEALTH: WHAT TO DO WHEN NOTHING WORKS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Speakers: Stephen M. Thielke, MD, MS, MA & Soo Borson, MD

Learning Objectives: (1) identify key unresolved clinical problems in geriatric mental health; (2) examine the range of underlying mechanisms that contribute to “intractable” mental health issues in older people; and (3) consider how empathic communication with patients may produce solutions that administering treatments cannot.

Symposia

IMPROVING THE CARE OF CARDIAC PATIENTS IN POST-ACUTE CARE - THE IMPORTANCE OF PATIENT-CENTERED MEDICAL AND REHABILITATION THERAPIES

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Moderator: Michael W. Rich, MD, AGSF

This symposium will provide attendees with an in-depth understanding of the issues affecting the care of patients with cardiovascular disease (CVD) in the post-acute care (PAC) setting, and will review the importance of patient-centered medical and rehabilitative therapies for this population.  Learning Objectives: (1) describe the factors associated with poor outcomes among patients with CVD in PAC; (2) structure disease management strategies and medical therapies for vulnerable patients with CVD requiring SNF care according to their preferences and within the context of goals of care during short term rehabilitation or long-term care; and (3) discuss the critical role of exercise and patient education as provided with cardiac rehabilitation in improving outcomes for even older adults with CVD; and incorporate principles of CR into routine management of patients with CVD in PAC.

Developing a Patient-Centered Approach to Cardiovascular Disease Management in   Skilled Nursing Facilities
Nicole M. Orr, MD

The Role of Cardiac Rehabilitation in Recovery for Older Patients with Heart Disease during Post-Acute Care
Daniel E. Forman, MD

Special Interest Group

JUNIOR FACULTY RESEARCH CAREER DEVELOPMENT SPECIAL INTEREST GROUP

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Networking

Chair: Andrew B. Cohen, MD, PhD

The Junior Faculty Research Career Development Special Interest Group is for junior faculty members and research fellows pursuing a career in aging-related research. At this meeting, we will elect our leadership for the coming year and discuss ideas for a symposium submission. This SIG is a great way to network with other early career researchers and become involved with AGS!

Workshop

THE NEW AGS NATIONAL ONLINE CURRICULUM: INNOVATIVE WAYS TO BE A QUICKER, BETTER GERIATRICS EDUCATOR FOR ALL LEARNERS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Education
  • CME/CE: 1.0

Moderator: Mandi Sehgal, MD

After some introductory remarks, attendees of this workshop will be split into four groups and will rotate through four discussion topics based on teaching method, and then will reconvene for a debrief.  Learning Objectives: (1) describe Aquifer Geriatrics and how it helps learners to achieve proficiency in the AAMC/Hartford Minimum Geriatric Competencies; (2) describe innovative teaching methods that can be incorporated when using Aquifer Geriatrics with learners including:  flipped classrooms, team-based learning, train-the-trainer, and as a “bootcamp” for more advanced learners; and (3) discuss other innovative ways online educational tools can be used to enrich the learning experience of the trainee.

The AGS National Online Curriculum: Aquifer Geriatrics
Kathryn E. Callahan, MD, MS

Table 1:  Using Aquifer Geriatrics across Multiple Disciplines in Flipped Learning
Ravishankar Ramaswamy, MD, AGSF

Table 2: Use of Aquifer Geriatrics for Team-Based Learning
Quratulain Syed, MD & Chandrika Kumar, MD

Table 3: Teaching how to Teach Using Aquifer Geriatrics
Amit A. Shah, MD & Andrea Wershof Schwartz, MD, MPH

Table 4:  Use of Aquifer Geriatrics for a Geriatrics “Bootcamp”
Becky Powers, MD & Kathryn E. Callahan, MD, MS

Other Session

HENDERSON STATE-OF-THE-ART LECTURE DISRUPTING THE SILENT WINTER: GERIATRICS’ ROLE IN STOPPING ELDER MISTREATMENT

  • Date:
  • Time: 4:00pm - 5:00pm
  • Track: Clinical Practice
  • CME/CE: 1.0

Speaker: Laura Mosqueda, MD

This session will focus on what is known regarding the causes, consequences, prevention and diagnosis of elder mistreatment.  Learning Objectives: (1) recognize signs and symptoms of elder mistreatment and neglect; (2) describe factors that contribute to elder abuse; and (3) discuss the healthcare professionals’ role in identification and prevention of elder mistreatment.

Poster Session

PRESIDENTIAL POSTER SESSION & RECEPTION

  • Date:
  • Time: 5:00pm - 6:00pm
  • Track: Research
  • Location: Exhibit Hall

The Presidential Poster Session and Reception features posters that received the highest rankings from abstract reviewers. Posters will be judged and one poster in each category will be chosen to receive a “Best Poster” award.  Light refreshments will be served.

Poster Session

GUIDED SCIENCE & INNOVATION POSTER WALKING TOUR

  • Date:
  • Time: 5:30pm - 6:00pm
  • Track: Research

Sponsored by the Research Committee

The honored Henderson Award recipient, Laura Mosqueda, MD, will lead an interactive walking tour of exciting posters, featuring new discoveries, novel models of care, or other innovations in geriatrics.  Each stop on the tour will involve a brief discussion with the poster presenter about the main findings and clinical implications of the work by Dr. Mosqueda. The walking tour will launch from the AGS Marketplace Booth in the Exhibit Hall at 5:30 PM. If you arrive late, you can catch up with the tour by picking up a handout at the Marketplace.