Program for Friday May 05, 2023

Section Meeting

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

ADDRESSING THE 5MS OF OSTEOPOROSIS MANAGEMENT

  • 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: Cathleen S. Colón-Emeric, MD, MHS 
In light of the new clinical practice guidelines from the Bone Health and Osteoporosis Foundation and advances in pharmacotherapy, this program will support attendees in providing evidence-based fracture prevention for patients with osteoporosis. Learning Objectives: (1) describe mobility interventions and care models that improve bone health and reduce injurious falls in older adults; (2) appropriately prescribe osteoporosis treatment regimens in common clinical scenarios, based on their pharmacobiology, risks, and benefits; (3) describe the pitfalls of race-based decisions in selecting osteoporosis pharmacotherapy; (4) tailor osteoporosis treatment plans for patients with multimorbidity, including dementia and chronic kidney disease; and (5) list elements of, and tools promoting, shared decision making around fracture prevention options with older adults and their care partners. 

Mobility in Osteoporosis Management 
Sonja L. Rosen, MD 

Designing Rational Osteoporosis Medication Regimens 
Cathleen S. Colón-Emeric, MD, MHS 

Mind and Medical Complexity in Osteoporosis Treatment 
Joshua D. Niznik, PharmD, PhD 

Promoting Shared Decision Making on What “Matter Most” in Fracture Prevention 
Sarah D. Berry, MD, MPH 

 

Other Session

DEMENTIA MATTERS: INNOVATIONS IN RESEARCH AND CLINICAL PRACTICE 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 the care of older adults.

Symposia

LEADERSHIP CURRICULUM - COMMUNICATION APPLICATION: CRUCIAL CONVERSATIONS, CONFLICT MANAGEMENT

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

Teaching Faculty and Small Group Facilitators: Vanessa Rodriguez, MD; Helen Fernandez, MD, MPH; Caitlyn J. Kuwata, MD; Nisha Rughwani, MD; Martine Sanon, MD; Olusegun A. Apoeso, MBBS; Veronica Rivera, MD; Fiorella M. Perez, MD; Carl Philippe Rousseau, MD; Lynn Flint, MD; Ayla Pelleg, MD; Lesca C. Hadley, MD, MBA, AGSF, FAAFP; Ugochi K. Ohuabunwa, MD; Pei Chen, MD; Roopali Gupta, MD 
Learning Objectives: (1) identify various types of conversations and determine how to evaluate your effectiveness of these conversations; (2) define effective negotiation skills; and (3) describe competent of successful conflict management.   

Symposia

LGBTQ+ HEALTH FOR OLDER ADULTS

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

Sponsored by the Needs of Older Gay and Lesbian, Bisexual and Transgender Persons Special Interest Group and the Achieving Health Equity Among Diverse Older Adults (AHEAD) Special Interest Group 
Moderator: Carl H. Burton, MD 
This symposium will identify the current gaps in care experienced by older LGBTQ+ adults, such as reduced utilization of screening by lesbian women and reduced interactions with health care across the community. It will equip attendees with the tools to advocate for structural change within their health system or practice site to advocate for this affirming, equitable care. Learning Objectives: (1) create an affirming clinical environment for LGBTQ+ older adults so that they experience optimal, non-judgmental clinical care; (2) explain how historical experiences of the older LGBTQ+ community have influenced current interactions with health care; (3) discern differences in care for LGBTQ+ older adults to provide specific, evidence-based care; (4) foster resiliency and advocate for advance care planning in LGBTQ+ older adults, a traditionally underserved patient population; and (5) develop literacy in care for older LGBTQ+ adults to be able to educate other providers in their care. 

Introduction to Care for Older LGBTQ+ Adults 
Carl H. Burton, MD & Noelle Marie C. Javier, MD 

Care for Older Gay, Lesbian and Bisexual Adults 
Carl H. Burton, MD & Noelle Marie C. Javier, MD

Care for Transgender and Gender Diverse Older Adults: Clinical Considerations 
Magda Houlberg, MD 

Advance Care Planning and Affirming Care 
Michael Danielewicz, MD & Angela D. Primbas, MD 

 

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  
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 Meeting

TEACHERS NETWORKING SECTION MEETING

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

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

Workshop

WRITING AND REVIEWING FOR THE JOURNAL OF THE AMERICAN GERIATRICS SOCIETY

  • 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: Joseph G. Ouslander, MD; Soo Borson, MD; Elizabeth L. Cobbs, MD; George A. Kuchel, MD; Michael W. Rich, MD, AGSF; Debra Saliba, MD, MPH; Kathleen T. Unroe, MD , MHA 
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 online 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

APPROACHING DEMENTIA CARE WITH CULTURAL SENSITIVITY AND HUMILITY

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

Moderator: Michi Yukawa, MD, MPH 
Sponsored by the Ethnogeriatrics Committee, Clinical Practice and Models of Care Committee, and Public Education Committee 
This symposium will address the gaps of dementia screening, communicating a dementia diagnosis, and providing resources in a diverse older adult population. Learning Objectives: (1) describe dementia screening tools that are applicable for older patients from different cultural and ethnic backgrounds; (2) demonstrate ethnic and culturally sensitive ways to discuss dementia work up and diagnosis with patients and their families; (3) identify opportunities for interprofessional teams to provide culturally sensitive support to caregivers and family members of patients with dementia; and (4) identify culturally inclusive caregiver support resources for patients and families with dementia. 

Making the Diagnosis: Culturally Inclusive Dementia Screening Tools 
Sharon A. Levine, MD, AGSF 

Disclosing the Diagnosis: Counseling Families about Dementia in a Culturally Inclusive Manner 
Anna H. Chodos, MD, MPH 

Approaching Family and Caregiver Support in a Racially and Ethnically Sensitive Manner 
Nirmala Dhar, LCSW

Other Session

CLIN-STAR PAPER SESSION

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

Sponsored by the Research Committee
Moderators: 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

OVERVIEW OF THE RESILIENCE WORLD – STATE OF SCIENCE CONFERENCE PROCEEDINGS

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

Description coming soon.

Other Session

POINT/COUNTERPOINT: DEBATING THE MERITS OF AGE-BASED PHYSICIAN COMPETENCY ASSESSMENT

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

Sponsored by the Society of General Internal Medicine Special Interest Group 
Moderator: Hollis Day, MD, MS, MHPE 
As the workforce ages we know that as physicians, we face our own increasing medical complexity and the potential for cognitive decline. However, given the nature of our work, the stakes are high to ensure that we are providing safe patient care. There are unfortunately no standardized guidelines for deciding when/if an older physician should retire for the sake of patient safety. Learning Objectives: (1) outline current policies within and outside the US regarding mandatory physician retirement/competency assessment; (2) discuss the pros/cons of mandatory competency testing for physicians at a given age; (3) list selected tools that may be used in assessment of older physician competency; and (4) discuss if mandating physician competency testing is a form of ageism.

Debating the Merits of Age-Based Physician Competency Assessment: Overview 
Hollis Day, MD, MS, MHPE 

For the Affirmative: Supporting Age-Based Physician Competency Assessment 
Elizabeth Eckstrom, MD, MPH 

Counterpoint: Older Physician Competency Based Assessment as Ageism in Action 
Lee Lindquist, MD, MPH, MBA, CMD 

Poster Session

POSTER SESSION D: STUDENTS & RESIDENTS

  • Date:
  • Time: 2:45pm - 3:45pm
  • Track: Networking
  • CME/CE: 1.5

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.   

Workshop

PROMOTING MOBILITY FOR WHAT MATTERS MOST: A CLINICAL SKILLS WORKSHOP USING A 5MS APPROACH ACROSS THE FUNCTIONAL SPECTRUM

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

Sponsored by Residents Section, Fellows-in-Training Section, Nurses Section, Pharmacists Section 
Co-Moderators: Lisa J. Granville, MD & Margaret I. Wallhagen, PhD, RN, MSN, GNP-BC, AGSF, FGSA, FAAN 
This workshop will provide skills and tools to promote mobility and reduce falls risk explicitly based on the 5Ms framework of geriatrics: medications, mind, mobility, multicomplexity, and matters most. Learning Objectives: (1) using the framework of the geriatric 5Ms, implement a strategy to optimize mobility and reduce falls risk in older adults at different functional levels based upon what matters most; (2) compare and contrast decision support tools and approaches to optimizing mobility and reducing falls risk, including clinical assessment, deprescribing, and basic physical interventions; and (3) communicate effectively with patients and families (stressing what matters most to them) re: the benefits of falls risk reduction as well as any potential trade-offs between promoting independence and reducing falls risk.

The Robust Older Adult 
Hal H. Atkinson, MD, MS & Barbara Resnick, PhD, CRNP 

The Vulnerable Older Adult 
Zaldy S. Tan, MD, MPH, FACP & Travis C. Eckard, PT, DPT 

The Frail Patient 
Maura J. Brennan, MD, AGSF & Demetra (Dee) Antimisiaris, PharmD

Symposia

TAKING A STAND AGAINST AGEISM THROUGHOUT MEDICAL TRAINING FRAMEWORK, AN AGS INITIATIVE

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

Sponsored by the Education Committee and the Teachers Section 
Moderator: Colleen Christmas, MD 
Ageism is stereotyping, prejudice and discrimination based on a person’s age, and in healthcare includes the implicit biases of providers and internalized beliefs of older patients. The implicit and explicit biases of clinicians can impact clinical practice, leading to medical decisions based on stereotypes and prejudices. Clinicians specializing in caring for older adults need to adopt the critical role of identifying, mitigating, and teaching about ageist stereotypes and behaviors among colleagues and learners in the clinical setting. Learning Objectives: (1) identify how ageism education embedded in medical education can change learner attitudes and combat bias against older adults and improve clinical care; (2) describe strategies for incorporating curricula about ageism into pre-clinical and clinical years of medical school, as well as residency training, and fellowship; (3) evaluate the impact of these strategies used to incorporate ageism education into the stages of medical training as well as how these strategies might mitigate the attitudes and behaviors developed throughout training that are biased toward older adults; and (4) discuss ways participants will amplify awareness of bias toward older adults and incorporate ageism education into their programs.

Medical School Training: Curriculum around Serious Illness & Ageism 
Megan Elizabeth Young, MD & Bronwyn Keefe, PhD, MSW, MPH 

Integrating Ageism Education with Clinical Experience in a Geriatrics Clerkship 
Ravishankar Ramaswamy, MD, AGSF 

Anti-Ageism Interventions in Primary Care Residency Training 
Mallory McClester Brown, MD 

Teaching about Ageism to Geriatrics Fellows 
Ryan Z. Chippendale, MD & Brent Schell, MD 

 

Symposia

HEART FAILURE WITH PRESERVED EJECTION FRACTION: NEW INSIGHTS INTO AN EVOLVING GERIATRIC SYNDROME

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

Moderator: Michael W. Rich, MD, AGSF 
Heart failure with preserved ejection fraction (HFpEF) is predominantly a disease of older adults and normative aging is considered a contributing factor to its development. It is also the most common form of heart failure in older adults, accounting for up to two-thirds of symptomatic heart failure in this age group. The management of HFpEF can be challenging in older adults due to co-existing complex multimorbidity, polypharmacy and the socioeconomic burdens of aging. As a result, HFpEF is increasingly recognized as a geriatric syndrome and its management requires a multi-dimensional approach to care. Therefore, it is essential that clinicians caring for older adults have a clear understanding of the diagnosis and management of HFpEF in order to optimize the care of their patients in the clinic or the hospital setting. Learning Objectives: (1) review the epidemiology, diagnosis and pathophysiology of HFpEF; (2) recognize that HFpEF as a geriatric syndrome requiring multi-dimensional care; (3) discuss the state of the science for pharmacologic intervention for HFpEF, and available resources for non-pharmacologic interventions focusing on physical rehabilitation for HFpEF as a tool for optimizing quality of life; and (4) acknowledge disparities and inequities in access to care for HFpEF and utilize strategies to resolve these issues. 

Heart Failure with Preserved Ejection Fraction: Epidemiology, Pathophysiology and Diagnosis 
Michael W. Rich, MD, AGSF 

Pharmacologic Management of Heart Failure with Preserved Ejection Fraction 
Parag Goyal, MD, MSc 

Non-Pharmacologic Management of HFpEF: The Case for Physical Rehabilitation 
Amy M. Pastva, PT, MA, PhD 

Disparities and Inequities in Access to Care and Outcomes for HFpEF
Khadijah Breathett, MD, MS, FACC, FAHA, FHFSA 

Panel Discussion 

Special Interest Group

ACHIEVING HEALTH EQUITY AMONG DIVERSE OLDER ADULTS (AHEAD)

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

Co-Chairs:  Jane Jih, MD, MPH, MAS & Benjamin Han, MD, MPH
The mission of this SIG is to bring together AGS members with an interest in promoting health equity and reducing health and healthcare disparities among diverse older adults in order to: 1) promote health equity initiatives at AGS; 2) develop programming and educational materials for AGS members; 3) create interdisciplinary relationships and mentorship with colleagues with an interest in health equity initiatives; and 4) cultivate collaborations in health equity-focused research and quality improvement initiatives among older adults.

Special Interest Group

AGING AND ORAL HEALTH

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

Co-Chairs: Christie Michele Hogue, DDS, AGSF & Theodore T. Suh, MD, PhD, MHS, AGSF
The purpose of this SIG is to provide an interprofessional forum where issues that impact the oral health of our aging patients can be presented to discuss a team approach to efficiently coordinate needed treatment. The SIG is intended to be a resource for a diverse group of health professionals with a passion for aging patients to find and expand access to care and reduce barriers to care when it comes to oral health and aging.  

Special Interest Group

CANCER AND AGING

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

Chair: Clark Dumontier, MD 
Liaison to the Palliative Care SIG: Imran Ali, MD, MS, MPH 
Fellows Representative: Maya Abdallah, MD 
Anyone interested in improving the care of older adults with cancer is welcome to attend this SIG meeting. Activities range from disseminating the latest evidence in geriatric oncology, collaborating on research studies and clinical innovations, and discussing the integration of geriatrics into local oncology practices. A fundamental goal of this group is to find ways to more widely implement the geriatric assessment in the routine care of older patients facing cancer and its treatment. 

Special Interest Group

DEMENTIA CARE AND CAREGIVER SUPPORT

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

Chair: Maria D'Souza, MD, MPH 
This new SIG will provide a forum for AGS members who are dedicated to providing clinical care for individuals living with dementia and support for their caregivers, in order to discuss clinical questions, exchange information and resources, and explore ideas for improving our individual and collective practice, towards advancing optimal dementia care.