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Live CME Seminars
Geriatrics CME |
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by Gary H. Oberlender, M.D., F.A.C.P. - Consultant in Geriatric Medicine and John W. Pendleton, M.D., F.A.C.P, F.A.C.R. - Virginia Tech Carilion School of Medicine and Research Institute; Associate Professor of Internal Medicine; Assistant Professor of Clinical Medicine, University of Virginia School of Medicine; Chief, Rheumatology Section, Veterans Affairs Medical Center; Staff Rheumatologist, Carilion Clinic, Carilion Roanoke Memorial Hospital, Roanoke, VA.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to identify the etiologies, epidemiologies and presenting clinical manifestations of the disorders described; implement a differential diagnosis and laboratory assessment plans; outline the therapeutic intervention, possible complications and preventive measures. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
When indicated in the specific objectives, emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. In consideration of our aging population, a physician is expected to be competent in the fundamentals of Geriatric Medicine and rely upon specialist only when absolutely necessary; therefore, this course was designed as a review and update for all practitioners at the level of a practicing physician.
| | Day 1 |
Delirium in the Elderly – Current Concepts. Osteoporosis: Contemporary Diagnosis and Treatment. Dementia in the Elderly. Osteoarthritis: Diagnosis and Treatment in the Older Patient. |
| Day 2 |
Advanced Nutritional Assessment and Therapy. Practical Points for the Musculoskeletal Exam for the Primary Care Provider. Vitamin B-12 and Vitamin D in Seniors. Geriatric Depression: Advances in Diagnosis and Treatment. |
| Day 3 |
Exercise Program in the Elderly “A Movement Whose Time Has Come”. Sensible Approaches to Geriatric Infections. Rheumatologic Lab Tests and Rheumatoid Arthritis in the Elderly. A Practical Approach to Falls and Urinary Incontinence. |
| Day 4 |
Sensible Prescribing Practices for the Elderly. Treatment of Chronic Pain in the Elderly. Contemporary Issues in End of Life Care. Office Orthopedics in the Older Patient. |
| Day 5 |
Polymyalgia Rheumatica and Giant Cell Arteritis. Risk Management and Care of the Elderly. Gout and Pseudogout in the Elderly. Improving Communication Skills in Medical Practice. |
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Geriatrics: A Primary Care Approach to the Aging Population
January 31 - February 4, 2011
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Delirium in the Elderly - Current Concepts - Upon completion of this session, the participant should be able to:
| 1. | Evaluate the diagnostic features and common causes of delirium.
| | 2. | Determine the causes of persistent delirium.
| | 3. | Formulate the non-pharmacologic and pharmacologic treatment approaches to the delirious patient.
| | 4. | Develop and prescribe various options to address agitation.
| | Osteoporosis: Contemporary Diagnosis and Treatment - Upon completion of this session, the participant should be able to:
| | 1. | Assess the differences in the WHO, physiologic, and clinical definition of osteoporosis.
| | 2. | Distinguish between the effects on bone metabolism of aging and those during the post-menopausal period.
| | 3. | Recognize the limitations of using only the T-score in assessing the risk of fracture.
| | 4. | Specify the importance of adequate vitamin D and calcium in the treatment of Osteoporosis.
| | Dementia in the Elderly - Upon completion of this session, the participant should be able to:
| | 1. | Determine the common causes of cognitive dysfunction and dementia in seniors.
| | 2. | Develop a unified comprehensive approach to the medical evaluation of a senior with cognitive dysfunction.
| | 3. | Distinguish and relate the relative risks and benefits of available treatment options.
| | 4. | Recognize the central role of caregiver education and caregiver support in the treatment of seniors with dementia.
| | Osteoarthritis: Diagnosis and Treatment in the Older Patient - Upon completion of this session, the participant should be able to:
| | 1. | Appraise the newer understandings of the pathophysiology of OA.
| | 2. | Distinguish the typical and atypical clinical features of OA.
| | 3. | Relate the various treatments of OA and how to integrate them.
| | 4. | Distinguish OA symptoms from those of other localized or generalized disorders.
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| | Day 2 | Advanced Nutritional Assessment and Therapy - Upon completion of this session, the participant should be able to:
| 1. | Utilize readily available clinical data to make accurate nutritional assessments in seniors.
| | 2. | Relate metabolic changes in aging to assess risk for malnutrition.
| | 3. | Develop a range of therapeutic nutritional approaches for frail and sick elderly patients.
| | 4. | Apply literature-based information on nutritional approaches that reduce the risk of dementia and depression to patients in his or her practice.
| | Practical Points for the Musculoskeletal Exam for the Primary Care Provider - Upon completion of this session, the participant should be able to:
| | 1. | Apply the various maneuvers in the shoulder exam to detect an impingement syndrome and adhesive capsulitis.
| | 2. | Assess the various causes of swelling and pain in the elbow and apply the maneuvers to distinguish them.
| | 3. | Relate the location of pain and the earliest exam changes noted in arthritis of the hip.
| | 4. | Employ the most sensitive test to detect effusions of the knee joint.
| | Vitamin B-12 and Vitamin D in Seniors - Upon completion of this session, the participant should be able to:
| | 1. | Describe the normal physiology of Vitamins B-12 and D.
| | 2. | Describe the variety of pathologic syndromes that may be due to the deficiencies of Vitamins B-12 and/or D.
| | 3. | Develop the work-up of Vitamin B-12 and Vitamin D deficiency and therapeutic options.
| | Geriatric Depression: Advances in Diagnosis and Treatment - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate the variety of clinical presentations of depressive syndromes in the elderly.
| | 2. | Appraise the utility of, and plan to use, the Geriatric Depression Scale.
| | 3. | Integrate the relative advantages and disadvantages of the various medications available for treatment of depression.
| | 4. | Appraise and appreciate the role of nutritional supplementation and non-pharmacologic treatments in conjunction with medical treatments.
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| | Day 3 | Exercise Program in the Elderly “A Movement Whose Time Has Come” - Upon completion of this session, the participant should be able to:
| 1. | Integrate the relationship between maximal oxygen consumption, aging, and functional status.
| | 2. | Relate the potential benefits of exercise.
| | 3. | Assess the risks of exercise and how to minimize them.
| | 4. | Specify the components of an exercise program.
| | Sensible Approaches to Geriatric Infections - Upon completion of this session, the participant should be able to:
| | 1. | Detect atypical presentations of infectious illness in the elderly.
| | 2. | Differentiate the causes of pneumonia and UTI and order appropriate antibiotics.
| | 3. | Appraise current considerations in emerging antibiotic resistance.
| | 4. | Formulate options in the prevention and treatment of antibiotic associated diarrhea.
| | Rheumatologic Lab Tests and Rheumatoid Arthritis in the Elderly - Upon completion of this session, the participant should be able to:
| | 1. | Determine the impact of aging on the sensitivity and specificity of rheumatologic lab tests.
| | 2. | Differentiate the alterations in the presentation of rheumatoid arthritis in the elderly.
| | 3. | Appropriately apply the use of corticosteroids in elderly onset rheumatoid arthritis.
| | 4. | Detect clinical factors that predict progressive and destructive rheumatoid arthritis.
| | 5. | Analyze the ADRs of biologic treatments in RA.
| | A Practical Approach to Falls and Urinary Incontinence - Upon completion of this session, the participant should be able to:
| | 1. | Integrate the concept of multifactorial causes underlying falls and incontinence in seniors.
| | 2. | Develop a full assessment approach to evaluate different causes, using detailed physical examination and functional performance evaluations.
| | 3. | Differentiate the effects of normal aging from pathologic processes and adverse drug effects as contributing to the causes of falls and incontinence.
| | 4. | Apply a literature-based approach to the formulation of a treatment plan.
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| | Day 4 | Sensible Prescribing Practices for the Elderly - Upon completion of this session, the participant should be able to:
| 1. | Appraise and appreciate the limits of studies on drug safety and efficacy as they apply to the elderly.
| | 2. | Assess the subtle but significant drug side effects in the elderly.
| | 3. | Distinguish undesirable prescribing practices and employ better approaches.
| | Treatment of Chronic Pain in the Elderly - Upon completion of this session, the participant should be able to:
| | 1. | Relate the adverse effects of NSAIDs in the elderly.
| | 2. | Prescribe long acting opiates after determining the daily dose requirements of short acting opiates.
| | 3. | Develop a treatment plan for an elderly patient with Fibromyalgia.
| | 4. | Specify the ADRs associated with opiate use in the elderly.
| | Contemporary Issues in End of Life Care - Upon completion of this session, the participant should be able to:
| | 1. | Develop a practical approach to assessment of the whole patient in a hospice setting.
| | 2. | Formulate effective approaches to common physical symptoms in the terminally ill.
| | 3. | Integrate effective clinical care of patients and their families in the last days of life.
| | 4. | Relate dementia as a terminal illness.
| | Office Orthopedics in the Older Patient - Upon completion of this session, the participant should be able to:
| | 1. | Evaluate the common causes of acute low back pain in the elderly.
| | 2. | Appraise the symptoms of and prescribe treatment for spinal stenosis.
| | 3. | Differentiate between the different metabolic pathways of the statins and relate how that would impact prescribing for patients on multiple other drugs.
| | 4. | Recommend the best radiographic view of the shoulder to detect a posterior dislocation.
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| | Day 5 | Polymyalgia Rheumatica and Giant Cell Arteritis - Upon completion of this session, the participant should be able to:
| 1. | Integrate and relate the typical symptoms, physical findings, and laboratory abnormalities in polymyalgia rheumatica.
| | 2. | Determine the best prednisone doses as initial treatment of PMR.
| | 3. | Detect the typical and atypical presentations of GCA.
| | 4. | Determine the appropriate indication and technique for temporal artery biopsy.
| | 5. | Prescribe the most effective treatment and distinguish the most serious complications of GCA.
| | Risk Management and Care of the Elderly - Upon completion of this session, the participant should be able to:
| | 1. | Relate basic principles of effective risk management practices.
| | 2. | Apply newer concepts and approaches in dealing with medical errors.
| | 3. | Specify the benefits of honest disclosure of medical errors.
| | Gout and Pseudogout in the Elderly - Upon completion of this session, the participant should be able to:
| | 1. | Distinguish the unique characteristics of gout in the elderly.
| | 2. | Differentiate the factors in the elderly that impact the presentation and treatment of gout.
| | 3. | Determine the clinical manifestations of calcium pyrophosphate deposition.
| | 4. | Differentiate the polarized microscopic findings for uric acid and CPPD crystals.
| | Improving Communication Skills in Medical Practice - Upon completion of this session, the participant should be able to:
| | 1. | Appraise the variety of ways that people perceive communication and process information.
| | 2. | Assess your personal communication strengths and limitations.
| | 3. | Determine communication issues unique to older patients.
| | 4. | Develop practices and apply skills to maximize effective communication and listening.
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