Program for Friday May 14, 2021

Moderator: Michael W. Rich, MD
Using the framework of patient centered care exemplified by the 5Ms (Mind, Mobility, Medications, Multimorbidity and Matters Most) or the domain management model recently highlighted in the cardiology literature, this session will address the rationale, evidence, and strategies for deprescribing cardiovascular medications (e.g. statins, anticoagulants, antihypertensive agents) through the lens of improving the coordination of care between medical team members and aligning therapy with patient-centered goals.  Learning Objectives: (1) describe the epidemiology and clinical sequelae of cardiovascular medication overload along with the barriers to deprescribing; (2) review the evidence base for deprescribing CV medications in older adults, including the potential adverse consequences associated with deprescribing; and (3) discuss steps to deprescribe cardiovascular medications within a patient-centered framework.

Developed by the Research Committee
Moderators: Joshua Chodosh, MD, MSHS, FACP & 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 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.

Speaker: Laurie G. Jacobs, MD, AGSF, FACP
Learning Objectives: (1) describe how negotiation is conducted with the C-suite; and (2) improve  skills and confidence in negotiation.

Sponsored by the Research Committee
Co-Moderators: Heather E. Whitson, MD, MHS; Camille P. Vaughan, MD, MS; Peter M. Abadir, MD 
Communications Coach: John P. Beilenson, MA (Strategic Communications & Planning)
This fast-paced, interactive session will showcase some of the meeting’s best new research and innovation. Top-rated abstracts submitted to AGS are selected for inclusion.  Presenters will give the highlights of their research findings in five minutes or less and the audience will have an opportunity to discuss and ask questions.  Learning Objectives: (1) describe at least one emerging concept or new scientific focus in aging research; (2) summarize the key findings of at least three projects with relevance to care of older adults; and (3) identify at least three AGS-affiliated individuals conducting exciting research in aging.

Sponsored by the Clinical Practice and Models of Care Committee; Public Education Committee; Alcohol, Tobacco, and Other Drug Use (ATOD) Among Older Adults Special Interest Group
Moderator: Alison A. Moore, MD, MPH
This symposium will provide clinicians with the tools necessary to screen for, diagnose, and treat Opioid Use Disorder (OUD) in settings where older adults receive care.  Learning Objectives: (1) describe the growing prevalence of OUD among older adults in the United States; (2) define the criteria for OUD and describe special considerations for applying these criteria in an older adult; (3) describe treatment options for OUD and describe special considerations for such treatment in an older adult; and (4) define models of integrating OUD treatment into settings where older adults receive primary care (outpatient clinics, home visits, SNFs), including across transitions of care.

Faculty Advisors: Maura Brennan, MD; Skotti Church, MD; Katie Denson, MD
All residents and 4th year medical students are encouraged to attend this section meeting. Come and meet others and discuss your own ideas about the field and ways to get more involved in AGS.  
 

Moderator: Jennifer D. Muniak, MD
This program will make the case for safe mobility to be a priority for older adult patients across healthcare settings and will empower participants to implement mobility programs in their home institutions.  Learning Objectives: (1) analyze the evidence for detrimental effects of low hospital mobility for older adults and the evidence for positive impact with a coordinated mobility program; (2) evaluate the unique challenges to mobility in different settings (ED, hospital, post-acute rehab, community); (3) describe common barriers to implementation of a mobility program and develop strategies in overcoming them; and (4) develop the knowledge and skills to adopt best practices from high performing mobility programs.
 

Sponsored by the Teachers Section and Education Committee 
Moderator: Rebecca Starr, MD, AGSF
This symposium is divided into four multi-media presentations, which will provide tools to help educators integrate geriatrics content into existing curricula without explicitly having a geriatric course or rotation.  Learning Objectives: (1) compare and contrast IP models and a mapping process for integrating geriatrics content in traditional and non-traditional venues throughout a health profession curriculum; (2) identify advantages and disadvantages of using “unlabeled’ geriatrics training materials; (3) develop at least one “take home” opportunity to apply concepts of integration at home institution; and (4) identify areas of partnership within your institution to develop your curriculum.

Join the Student Community for networking and learning about the latest student news. Open to all trainees interested in attending.

Chair: Mandi Sehgal, MD
Come and join your fellow geriatrics clinician educators to discuss potential collaborative projects as well as proposals for next year's annual meeting.  

Chair:  Lee A. Jennings, MD, MSHS; Lisa Miura, MD; Rebecca Boxer, MD, MS 
This Section is intended for AGS members of all disciplines working in geriatrics. The purpose is to provide a forum for women to discuss challenges and share ideas related to their personal and professional lives. 

Speaker: Alexander K. Smith, MD, MS, MPH
The central pedagogy of scientific research training is that researchers must be narrowly focused. So goes the saying, "An inch wide and a mile deep."  Throughout his academic career, Dr. Smith has been drawn to holistic disciplines whose central principles run counter to this reductionist perspective: primary care, geriatrics, and palliative care.  His academic success, such as it's been, has reflected this pull towards conceptual complexity, diversity of interests, and mentees with fresh ideas. Dr. Smith’s academic work has ranged from standard scientific publications to developing ePrognosis to bioethics thought pieces to the GeriPal podcast to leading sing-alongs at the AGS Literature Update.  In this talk, Dr. Smith will challenge the notion that a successful research career must be defined by a dominant dedicated research focus.  Learning Objectives: (1) describe arguments for being narrowly focused and counter arguments for a maintaining a broader array of interests; (2) consider the pros and cons of nurturing mentees intellectual curiosity about a wide range of interests vs. squashing mentees interest in all domains outside of a narrowly focused band of scientific inquiry; and (3) review community-participatory learning techniques involving synchronous vibration of the vocal folds.

Moderator: Peter Hollmann, MD
Learning Objective: (1) discuss care management, advance care planning, collaborative behavioral health and other services, including what is new in 2021.
 

Moderator: Maura J. Brennan, MD
The overarching goal of the workshop is to overcome barriers and empower more attendees to formally join the "age-friendly" health system movement. Learning Objectives: (1) describe the steps needed to become an age-friendly health system; (2) list at least 3 ways geriatrics experts can access resources to advance the age-friendly health system movement; and (3) report at least 3 different approaches to age-friendly program design and resolution of challenges.

Moderator: Cathy A. Alessi, MD
Sleep problems are common in older adults, significantly impact health and quality of life, and often present unique challenges for diagnosis and management across care settings.  Using evidence from recent and ongoing clinical and translational research, this symposium provides an overview of practical approaches to address common sleep problems in older adults.  Learning Objectives: (1) describe practical approaches to address insomnia, sleep apnea and other common sleep problems among older adults in the outpatient setting; (2) identify factors that contribute to sleep loss and related complications in hospitalized older adults, and evidence-based interventions to address these problems; and (3) discuss the multifactorial nature of sleep disturbance among older adults in long-term care, and recent evidence to guide clinical practice in this setting.

Moderator: Leah J. Witt, MD

While older adults and their caregivers often seek pre-travel advice from physicians and other health professionals, most clinicians have received no formal training about preparing patients for travel. This program aims to address this knowledge gap, by describing how the physiology of aging impacts safe air travel, exploring the prevalence and management of inflight medical emergencies, discussing barriers to travel, and proposing pre-travel preparation measures.  Learning Objectives: (1) summarize how the physiologic changes of aging affect the older adult during air travel; (2) recognize the most frequent symptoms and diagnoses of inflight medical emergencies, and manage emergencies with limited resources; and(3) describe how to counsel patients about preparing for safe travel, in light of geriatric comorbidities, as well as pre-travel preparation tools available for this discussion.

Sponsored by the Research Committee
Moderator: George E. Taffet, MD
This symposium will focus on basic science and translational studies in the past year that will impact clinical care in the next five years.  Learning Objective: (1) discuss the application of today’s bench research to tomorrow’s bedside care, focusing on the neurovascular system; (2) discuss the application of today’s bench research to tomorrow’s bedside care focusing on cellular senescence as a driver of aging; and (3) discuss the application of today’s bench research to tomorrow’s bedside care focusing on the cardiovascular system.

Sponsored by the Research Committee
Moderator: TBD
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.
 
 

Sponsored by the Teachers Section and the Education Committee
Moderator:  Rosanne M. Leipzig, MD, PhD
This session will highlight the updates to the 2021 medical student competencies in geriatrics, and present several educational tools based on the Geriatrics 5Ms framework to aid in teaching and evaluating medical students in their ability to care for older adults.  Learning Objectives: (1) describe the AGS 2021 updates to the AAMC/Hartford Minimum Geriatric Competencies for medical students using the Geriatrics 5Ms framework; (2) describe two innovate teaching tools to implement the teaching of the updated medical student competencies, including a Geriatrics 5Ms Pocketcard and Geriatrics 5Ms for Clerkships curriculum; and (3) describe two innovative assessment tools to evaluate the updated medical student competencies, including a Geriatrics OSCE and Geriatrics 5Ms rubric for assessing medical student geriatrics write-ups.

Moderator: Sharon A. Brangman, MD, AGSF 
Hear from AGS leaders on how we are implementing a multi-year, multi-pronged initiative that is focused on achieving our future vision for healthcare that is free of discrimination and bias.  Attendees will learn about intersectionality with a focus on structural racism and ageism, hear what AGS is doing to address this intersection, and understand potential strategies that they can use at home.  Attendees at the live session will be encouraged to share their own experiences and ideas for strategies via the chat and during the live Q&A with panelists.