Program for Friday May 05, 2023

Sponsored by the AGS/AGING LEARNING Collaborative, an R25 grant from the National Institute on Aging (NIA)
This interactive workshop will prepare mid to senior level faculty to be Champions of Multiple Chronic Conditions (MCCs) Research. The workshop is designed to introduce learners to the new AGS/AGING Learning Curriculum on MCC Research with the goal of encouraging use of the curriculum at their own institutions using the MCC Research Champion Toolkit. By taking part in the Champion workshop, and actively engaging in disseminating the AGS/AGING Learning Curriculum with others, MCC Research Champions have an opportunity to leverage their unique knowledge, skills and enthusiasm to encourage research on MCCs that will ultimately translate into the delivery of higher quality care across the lifespan.

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.

Moderator: Carrie Rubenstein, MD
Sponsored by the Ethics Committee and the Elder Abuse Special Interest Group
An estimated 7% of older adults experience financial exploitation annually in the United States. This is likely an underestimation, making it one of the most common forms of elder mistreatment. In this session, three experts from the fields of Elder Mistreatment and Financial Exploitation will share the most recent evidence and expert practices from basic science to the bedside.  Learning Objectives: (1) judge the rationale and future promise of using neuroimaging as a tool to understand financial exploitation vulnerability in older adults; (2) assess for financial decision-making capacity in a vulnerable older adult experiencing or at risk for financial exploitation; (3) identify racial, ethnic, and cultural differences in financial exploitation experience and perception of harm that may be present in diverse populations; and (4) formulate a culturally tailored intervention and prevention plan for the serially financially exploited adult by overcoming barriers and leveraging community-based strategies and national resources.

Developed by the Teachers Section and the Education Committee  
Moderator: Mariah L. Robertson, MD, MPH
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.
 

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. Geriatricians will be present to discuss geriatrics as a career and opportunities in the field.  Fellowship directors will be representing their programs at the fellowship fair portion of the section meeting. Breakfast will be served.

Moderator: Sevdenur Cizginer, MD, MPH, AGSF
Sponsored by the Geriatric-Surgical Co-Management Special Interest Group and the Geriatrics for Specialists Initiative
This session will bring national leaders in geriatric surgery from surgery, geriatrics and nursing to share the literature, their knowledge, and tools about the ACS GSV program standards. Learning Objectives: (1) describe the GSV Program standards, programmatic structure, implementation process and the expected benefits from this implementation; (2) review how to adopt current hospital systems and existing geriatric surgery care models into GSV Program implementation; (3) describe the critical need for transformation of existing geriatric surgery care models through implementation of GSV Program; and (4) discuss the tools on quality improvement, data collection and care standardization in geriatric surgery.

Co-Chairs:  Lee A. Jennings, MD, MSHS, AGSF & Lisa Miura, MD, FACP, AGSF
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. This year’s topic: The Art of Saying No. Have you ever wanted to say “no” but just didn’t have the wherewithal in the moment? In this conversation attendees will reflect on why this happens and join our panelists to explore why, when, and how to say no. We will leave with new tools that help us set boundaries and find our voice, along with a new sense of empowerment. Breakfast will be served.  

Moderator:
Laura Mosqueda, MD, FAAFP, AGSF
Panelists:
Grace Chen, MD
Donna Fick, PhD, RN, GCNS-BC, FAAN
Alison Moore, MD, MPH, FACP, AGSF
 

Please join us as we honor and celebrate this year’s prestigious award winners.

Presenter: Dae Hyun  Kim, MD, MPH, ScD

Frailty has long been recognized by geriatricians as a means to understand the vulnerability in older persons that is not explained by chronological age and individual diseases.  Despite increasing burden and clinical significance of frailty, frailty assessment had been mainly confined to the research setting, in which rigorous standardized assessment was possible.  Over the past decade, the effort to translate frailty from research to the real world has accelerated.  In this lecture, Dr. Kim will present three major accomplishments at the forefront of this effort: 1) development of an algorithm to measure the level of frailty from Medicare data for researchers; 2) implementation of a frailty index calculator in the electronic health records of a large academic medical center for clinicians; and 3) dissemination of our knowledge and tools to the clinical and research community through software codes, websites, and incorporation into the fellowship training curriculum. He will discuss motivating clinical cases and research applications to help clinicians and researchers advance frailty-guided clinical care and will conclude with future directions in our quest to make frailty part of routine care of older adults. Learning Objectives: (1) describe the latest developments in frailty measurement; (2) generate evidence to advance frailty-guided clinical care; and (3) apply frailty information to guide clinical decisions.

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. 

Moderator: Kenneth Schmader, MD 
COVID-19 continues to pose a threat to older adults, causing a disproportionate amount of disability and death.   Professional practice gaps and knowledge needs regarding COVID-19 in older adults include the benefits and limitations of different treatment approaches for acute SAR-CoV-2 infection, identifying and managing post-acute (long) COVID-19 in older adults, and addressing the impact of the COVID-19 pandemic experience on the quality of life of older persons and their loved ones. Learning Objectives: (1)  review use of antiviral, monoclonal antibodies, corticosteroids and other treatments for acute infection in older adults outside the hospital setting; (2) identify the clinical manifestations and impact of post-acute (long) COVID-19 in older adults and demonstrate approaches to management of this syndrome, including models of care; (3) review the recent data on pandemic-related psychosocial health outcomes among older adults and potential downstream health effects; and (4) identify factors that impacted pandemic experiences, including inequities by race/ethnicity, living situation, and experiences of serious illness and apply a framework for assessing and addressing pandemic-related psychosocial needs, including persistent loneliness and social isolation.

Moderator: Peter Hollmann, MD, AGSF 
Learning Objective: (1) discuss care management, advance care planning, collaborative behavioral health and other services, including what is new in 2023. 

Moderator: Joseph Ouslander, MD
This symposium will address the gaps in enrollment of older adults and older adults of minority status in clinical trials, the need for this information and the evolving landscape trying to fill this gap, and the important role that clinicians can play to increase participation in clinical trials of new medical therapies. Learning Objectives: (1) discuss the gaps in drug evaluation in older clinical populations-- especially the areas of greatest needs; (2) describe the evolving goals for age-related and diversity-related requirements for trial enrollment and reporting; and (3) review the clinical trial design and evaluation process as it relates to improving participation of older adults and more diverse clinical trial populations-- both in the US and internationally.

Sponsored by the Research Committee 
Co-Moderators: Joshua Chodosh, MD, MSHS, FACP & Dan R. Berlowitz, MD, MPH
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 the care of older adults. 

Chair:  Melisa Wong, MD, MAS
The Junior Faculty Research Career Development Meeting is a great opportunity for junior faculty and research fellows to meet each other and to receive advice on career development from mid-career and senior faculty. This year will have a presentation by Amy S. Kelley, MD, MSHS, the 2022 Yoshikawa Awardees for Outstanding Scientific Achievement in Clinical Investigation. This talk will be followed by a panel Q & A about career development and research funding.    

Sponsored by the Education Committee and the Teachers Section
Moderator: Rosanne M. Leipzig, MD, PhD
This session will highlight the updates to the Geriatrics competencies for Internal Medicine and Family Medicine residents, and present several educational strategies, based on the Geriatric 5Ms framework, to aid in teaching residents to care for older adults. Learning Objectives: (1) describe the AGS updates to the Geriatric Competencies for Internal Medicine and Family Medicine Residents using the Geriatric 5Ms framework; (2) illustrate how the AGS/ADGAP Geriatrics Residency Curriculum can be used as a resource to guide implementation of the updated resident competencies; and (3) demonstrate innovative strategies for implementing the updated IM/FM resident competencies in Geriatrics, including leading an immersive experience for trainees, teaching trainees in skilled nursing facilities, and conducting a geriatric-targeted needs assessment in a residency program.

Sponsored by The John A. Hartford Foundation, Inc, Geriatrics Emergency Department Collaborative (GEDC), AGS Geriatrics-for-Specialists Initiative (AGS GSI) 
Moderator: Ula Hwang, MD, MPH 
Presenters: Chris R. Carpenter, MD, MSc; Edgardo Ordonez, MD, MPH; Anita N. Chary, MD, PhD
This symposium will present the results of a three-year scoping review of the emergency medicine literature to determine baseline for diversity in research. The review was conducted as a part of the JAGS Diversity in Research Paper Series. JAGS is commissioning a series of papers that are focused on diversity in research with a focus on diseases and conditions that are common in older adults. For this paper, the author panel focused on elder abuse, delirium, falls, and polypharmacy. The authoring team will also present their recommended action steps for increasing study population diversity in research that is focused on older adults and emergency medicine.  Learning Objectives: (1)  describe the results of a three-year scoping review of the emergency medicine literature to determine baseline for diversity in research; (2) discuss the age, race, and ethnic diversity of study populations for research focused on delirium, elder abuse, falls, polypharmacy in the emergency department setting; and (3) review action steps for increasing study population diversity in research that is focused on older adults and emergency medicine.

Moderator: Paul L. Mullhausen, MD, AGSF
This session will provide an update on AGS’ primary areas of public policy focus:  Medicare payment, geriatrics health professions programs, support for aging research, and quality metrics for older adults. The session will include a summary of how AGS identifies and prioritizes issues into those where the Society leads; those where the society is actively working, typically in collaboration; and those where the society looks for opportunities to support the work of others.  Learning Objectives: (1) describe legislative and regulatory opportunities for influencing public policy; (2) discuss how AGS incorporates new public policy priorities into its existing advocacy efforts; and (3) review how the Society works in coalition.

Description coming soon. 

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