Program for Friday May 14, 2021

Other Session

FRIDAY LUNCH BREAK

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

Complimentary lunch available in the exhibit hall.

Poster Session

POSTER SESSION C

  • 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.

Section

STUDENT SECTION

  • Date:
  • Time: 12:30pm - 1:30pm
  • Track: Networking

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

Symposia

BONING UP ON OSTEOPOROSIS MANAGEMENT: THE CLINICIAN’S ROLE IN 2021

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

Sponsored by the Osteoporosis and Metabolic Bone Disease Special Interest Group
Moderator: Sarah D. Berry, MD, MPH
This session will improve knowledge of the current evidence and best practices for monitoring osteoporosis treatment.  Learning Objectives: (1) describe factors to consider when considering osteoporosis treatment for older adults with multimorbidity and limited life expectancy; (2) identify alternative non-bisphosphonate osteoporosis medications and recognize appropriate clinical situations where these drugs may be considered; and (3) discuss the substantial increase in risk for future fractures after an initial fracture has occurred and understand when and how preventative medications can be given and monitored.

Managing Osteoporosis in Older Adults: Is It Too Late To Do More?
Meredith A. Gilliam, MD, MPH

Beyond Bisphosphonates: What Else Can We Use?
Kenneth W. Lyles, MD
Secondary Fracture Prevention in 2021
Douglas P. Kiel, MD, MPH

 

Workshop

CLINICAL SKILLS WORKSHOP: VERTIGO II

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

Ticketed session. No additional fee.
Faculty:  Anthony G. Arslan, DO; Mithil V. Choksey, MD; Marina L. Blagodatny, MD, CMD 

Learning Objectives: (1) review the prevalence and impact of BPV; (2) perform a Dix Halpike and a lateral roll; and (3) perform canalith repositioning maneuvers to diagnose and resolve vertiginous symptoms.
 

Other Session

CLINICIAN-SCIENTISTS TRANSDISCIPLINARY AGING RESEARCH (CLIN-STAR) PAPER SESSION

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

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.

 

Symposia

DEPRESCRIBING CARDIOVASCULAR MEDICATIONS IN OLDER ADULTS: A PRACTICAL APPROACH

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

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.

Rationale, Triggers, Sequelae, and Clinical Trials of Deprescribing Cardiovascular Medications
Ashok Krishnaswami, MD, MAS
 
Patient-Centered Cardiovascular Medication Deprescribing
Parag Goyal, MD, MSc, FACC
Improving Cardiovascular Medication Deprescribing by the Utilization of Collaborative Practice Protocols
Andrew R.  Zullo, PharmD, PhD
Deprescribing in the Nursing Home: A Potential Model for Success?
Nicole M. Orr, MD, FACC

Symposia

LIGHTNING SCIENCE: BRIEF PRESENTATIONS OF TOP-RATED ABSTRACTS

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

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.

Section

TEACHERS NETWORKING SECTION MEETING

  • Date:
  • Time: 1:30pm - 2:30pm
  • Track: Networking

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

Symposia

UPDATING THE MEDICAL STUDENT COMPETENCIES IN GERIATRICS FOR 2020 USING THE GERIATRICS 5MS FRAMEWORK, AN AGS INITIATIVE

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

Sponsored by the Teachers Section and the Education Committee
Moderator:  Rosanne M. Leipzig, MD, PhD
This session will highlight the updates to the 2020 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 2020 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.

Introducing the 2020 Updated Medical Student Competencies in Geriatrics using the Geriatrics 5Ms Framework
Mandi Sehgal, MD & Andrea W. Schwartz, MD, MPH

Using an OSCE as Evaluation Tool to Assess Geriatric Competencies
Lisa Strano-Paul, MD

Assessment Rubric for Medical Student Geriatrics Write-Ups Using the RIME Format and the Geriatric 5Ms Framework
Shoshana Streiter, MD

Development of a Geriatric 5Ms Pocketcard for Medical Students
Alison M. Holliday, MD, MPH

Implementation of a Geriatrics 5Ms for the Clerkships Curriculum Linked to Aquifer Geriatrics Online Cases
Amit A. Shah, MD & Christina Chen, MD

 

Workshop

WRITING AND REVIEWING FOR THE JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (JAGS): DIAMONDS IN THE ROUGH

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

Co-Moderators: Ellen F. Binder, MD & Alexander K. Smith, MD, MS, MPH   
Faculty: Miriam B. Rodin, MD, PhD; William B. Applegate, MD, MPH; Joseph G. Ouslander, MD; Michael W. Rich, MD; George A. Kuchel, MD; Debra Saliba, MD, MPH; Christopher R. Carpenter, MD, MSc
This workshop is intended for persons who want to submit to, and/or review research articles for the Journal of the American Geriatrics Society (JAGS), including the JAGS Junior Reviewers. Participants will work in small groups, with facilitation by JAGS editorial board members, to review an article on site, using the JAGS review checklist, discuss the findings, and present their conclusions. Prior to the workshop, participants will be expected to have reviewed an on-line webinar that describes how a review for JAGS should be conducted and offers a working example of such a review.  Learning Objectives: (1) use the JAGS checklist to review an article; (2) decide what recommendation to give about acceptance; and (3) review what steps are needed for improving the paper.

Symposia

COGNITIVE SCREENING IN PRIMARY CARE: MAKING THE CASE AND CHOOSING THE TOOLS

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

Sponsored by the Clinical Practice and Models of Care Committee
Moderator: Heidi K. White, MD
This session will provide practical guidance on cognitive screening in primary care with content specific to the available screening tools, and how to encourage more cognitive screening in primary care. Learning Objectives: (1) describe the reasons for cognitive screening; (2) review the strength and weaknesses of three primary tests: Minicog, MOCA, SLUMS; (3) outline examples of cognitive screening in relationship to care plan development, optimal functional status, and overall quality of life; and (4) inventory the opportunities for intervention in specific practice sites.  

Cognitive Screening Tools
Joshua Chodosh, MD, MSH

Encouraging More Cognitive Screening in Primary Care
Soo Borson, MD, FAPA, FGS

 

Symposia

FIREARMS & DEMENTIA

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

Moderator: Caroline A. Vitale, MD, AGSF
Learning Objectives: (1) screen patients with dementia for firearms access and give recommendations regarding firearms “retirement” based on stages of dementia; (2) counsel patients with dementia and their caregivers regarding safe disposal of firearms.

Geriatric Assessment
Quratulain Syed, MD 

Current State and Future Directions
Emmy Betz, MD, MPH

 

Symposia

INNOVATIVE AND CLINICALLY FEASIBLE TOOLS TO SCREEN FOR FRAILTY IN OLDER ADULTS WITH CANCER

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

Sponsored by the Cancer and Aging Special Interest Group
Moderators: Jane A. Driver, MD, MPH & Imran Y. Ali, MD, MS, MPH
The primary outcome of our program will be to equip geriatricians and other clinicians caring for older adults with knowledge and tools to adapt their expertise in aging to efficiently identify frailty in older adults with cancer.  Learning Objectives: (1) describe current cancer-focused guidelines regarding the assessment of older patients with cancer; (2) identify the main tools studied in oncology to screen for vulnerability and frailty in older adults with cancer; (3) implement clinically feasible, evidence-based screening measures of frailty to identify vulnerable older patients with cancer at participants’ local institutions; and (4) help geriatricians and other providers effectively collaborate with oncologists to optimize the care of older adults with cancer.
 

Gait Speed as a Functional Vital Sign in Older Adults with Cancer
Clark DuMontier, MD
Electronic Rapid Fitness Assessment (eRFA): Empowering Geriatricians to Improve Outcomes of Older Cancer Patients Through Digital Health Technology
Armin Shahrokni, MD, MPH
Screening Older Adults with Cancer in an Outpatient Oncology Clinic: Implementation of the Geriatric 8 (G8) Questionnaire into an Electronic Medical Record (EMR)
Sukeshi Patel Arora, MD


 

Symposia

LEADERSHIP CURRICULUM: NEGOTIATING WITH THE C-SUITE

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

Speaker: Laurie G. Jacobs, MD, AGSF, FACP
This workshop will heighten your knowledge of how negotiation is conducted and your skills and confidence in negotiation.
 

Poster Session

POSTER SESSION D: STUDENTS & RESIDENTS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Research
  • Location: Exhibit Hall

Sponsored by the AGS Health in Aging Foundation

View the most current research in geriatrics. Authors will be available to discuss the presented findings and answer questions. Resident posters will be judged, with participation certificates and awards in several categories to be presented at the end of the Poster Session. 

Symposia

SEPSIS IN NURSING HOME RESIDENTS: RECOGNITION AND RESPONSE

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

Sponsored by AMDA, the Society for Post-Acute and Long Term Care
Moderator:  Robin L.P. Jump, MD, PhD
This session will address the presentation of sepsis in older adults, early recognition of sepsis in nursing home residents, and strategies to optimize outcomes in this setting. It also will discuss realistic expectations for managing sepsis based on the staff, training, and resources available in most nursing home settings.  Learning Objective: (1) describe the clinical presentation of sepsis in older nursing home residents; (2) discuss initial assessment and principles of management in older adults with suspected sepsis including discussion on how to manage suspected sepsis in the context of antibiotic stewardship. In this objective we will also review common misconceptions related to antimicrobial stewardship and concerns related to rehospitalizations for severe infections; (3) discuss the benefits and limitations of currently available early recognition tools for sepsis in nursing homes and review currently available algorithms for diagnosis and management; and (4) recognize the risks and benefits of attempting to manage sepsis in nursing homes. 

Sepsis in Nursing Home Residents: Recognition and Early Response
Theresa Rowe, DO, MS
Identification of Sepsis
Bernardo J. Reyes, MD, CM
So You Have Sepsis on Your Hands
Swati Gaur, MD, MBA, CMD
Panel Discussion: Theresa Rowe, DO, MS; Robin L.P. Jump, MD, PhD; Swati Gaur, MD, MBA; Bernardo J. Reyes, MD, CMD; David A. Nace, MD, MPH, CMD; Sarah Kabbani, MD, MS


 

Symposia

YOU CAN MAKE A DIFFERENCE: LEARN ABOUT AND GET INVOLVED IN AGS’ EFFORTS TO ADVANCE PAYMENT FOR CARE OF COMPLEX PATIENTS

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

Presenters: Audrey K. Chun, MD & Robert A. Zorowitz, MD, MBA, FACP, AGSF, CMD

For over 20 years, the AGS has advocated for changes in how physicians and other health professionals are paid for providing services to older adults. We have focused attention on this issue because implementing new billing codes, which are used in the annual Medicare Physician Fee Schedule, can have a significant impact on care quality for frail, older patients by providing adequate reimbursement for practitioners who provide this complex, time-intensive care. Workshop attendees will learn about the AGS internal process to advance and improve payment for services that reflect the care and coordination necessary for complex older patients. Attendees will also learn about opportunities to participate in this work.  Learning Objectives: (1) discuss opportunities to align payment with the healthcare needs of older adults with multiple complex conditions, or co-morbidity; (2) review AGS’ advocacy work to improve healthcare provider reimbursement for services unique to older adults with multiple chronic conditions; (3) outline ongoing efforts to develop, value, and ultimately implement new payment codes that support quality care for this population; and (4) describe the work of the American Medical Association’s (AMA) Current Procedural Terminology (CPT) Editorial Panel and Advisory Committee and Relative Value Scale Update Committee (RUC).

Plenary Symposia

IT’S NOT JUST DIALYSIS OR DEATH: CONSIDERATIONS WHEN STARTING, STOPPING, AND FORGOING DIALYSIS

  • Date:
  • Time: 4:00pm - 5:30pm
  • Track: Clinical Practice
  • CME/CE: 1.5

Moderator: Elizabeth K. Vig, MD, MPH
Speakers: Susan Wong, MD, MS; Molly A. Feely, MD , FAAHPM, FACP; Christine Liu, MD, MS; Howard Russell, JD (patient)

This session will explore the challenges when deciding whether or not to initiate dialysis, ways to support those who forgo dialysis, when to consider stopping dialysis, and ways to enable patients on dialysis to receive hospice services.  It will include a videotaped interview by Dr. Liu with her patient Howard Russell, as they discuss his experience and decision-making process on starting dialysis. Learning Objectives: (1) identify dialysis outcomes for older patients, including patient characteristics that may affect those outcomes; (2) explain aspects of conservative care for those who elect not to initiate dialysis; (3) describe three indications to prompt a discussion of the option of discontinuing dialysis; and (4) discuss ways to promote concurrent dialysis and hospice services.

Special Interest Group

CARE TRANSITIONS

  • Date:
  • Time: 6:00pm - 7:00pm
  • Track: Networking

Co-Chairs: Timothy W. Farrell, MD, AGSF; Claire Davenport, MD, MS; Ugochi Ohuabunwa, MD

As the AGS’ main forum for discussion, collaboration, and advocacy on care transitions issues, the Care Transitions SIG will convene during the AGS 2020 Annual Scientific Meeting.  We will invite a guest speaker (TBD) to discuss a pressing care transitions issue, followed by a discussion of ideas for AGS symposia related to care transitions.  The meeting will conclude with an open form for networking and discussion.