Geriatrics for Primary Care Providers and Hospitalists - Enduring Activity

INTRODUCTION

Subscription to this course includes 3-months access to self-paced online content designed to educate primary care providers and hospitalists with diverse patient populations to manage common geriatric presentations effectively. The course focuses on geriatric clinical issues commonly encountered in both inpatient and outpatient care settings. Lectures are presented by geriatric faculty nationally recognized for their expertise in chronic disease management and will involve best practice strategies and education through case studies, lectures, and suggested readings. Each session includes a knowledge quiz and explanation of the correct answer. The estimated time to complete this activity, including review of the materials, is 5.00 hours.

NEEDS STATEMENT

The need for care for older adults has never been bigger, and it is only growing. The combination of the aging of the Baby Boom population and an increase in life expectancy will mean that older adults make up a much larger percentage of the U.S. population than ever before. It is estimated that we will need 20,000 board certified geriatricians to take care of 14 million older Americans. However there are currently less than 8,000 board certified Geriatricians to serve this need.  The Institute of Medicine’s landmark report, Retooling for an Aging America: Building the Health Care Workforce, states “unless action is taken immediately, the health care workforce will lack the capacity to meet the needs of older patients in the future.” Primary Care continues to be the backbone of medical care for older Americans, and it is important to understand geriatric principles in order to provide the best care for our older adults. The purpose of this course is for non-Geriatricians to learn to effectively identify, evaluate, and treat conditions unique to the elderly.

COURSE DIRECTORS

Angela Catic, M.D., M.Ed.
Assistant Professor and Fellowship Program Director
Medicine-Geriatrics and Palliative Medicine
Baylor College of Medicine
Co-PI, Southeast Texas GWEP
Staff Physician, Michael E. DeBakey VA Medical Center, Houston

Syed Nasrat Imam, M.D. 
Associate Professor
Medicine-Geriatrics and Palliative Medicine
Baylor College of Medicine
Medical Director, Connected Care
Michael E. DeBakey VA Medical Center, Houston, Texas

Target Audience

Primary Care Providers, Internists, Family Medicine Practitioners, Hospitalists, General Medicine, Nurse Practitioners, and Physician Assistants.

Learning Objectives

At the conclusion of the activity, participants should be able to:

  • Identification and Management of Delirium
    • Explain the impact of delirium on patients, caregivers and the health system.
    • Recall the predisposing risk factors and precipitating contributors for the development of delirium in older adults.
  • Rapid Geriatric Assessment
    • Recall the benefits of incorporating geriatric assessment elements into primary care visits with older adults.
    • Outline the geriatric assessment tools with high-yield results during encounters.
    • Utilize the findings of brief geriatrics assessment to modify the care of older adults.
  • Demographics and Physiologic Aging
    • Analyze how age-related changes can alter presentation of disease.
    • Identify the overlaps between aging and diseases.
    • Discuss age-related changes in the brain.
  • Depression in Older Adults
    • Distinguish between Major Depressive Disorder and Minor Depression in older adults.
    • List the risk factors for depressive illnesses in older adults.
    • Discuss the evidence-based psychotherapeutic interventions for depression in older adults.
    • Discuss the evidence-based treatments for older adult treatment refractory depression.
  • Management of Dementia Related Behaviors
    • Summarize the epidemiology of behavioral and psychological symptoms of dementia (BPSD).
    • Identify the reversible medical causes of behavioral issues in older adults with dementia.
    • Evaluate the formalized management approaches to BPSD including the DICE and STR-VA models.
  • Dementia Treatment: Where to Start, Where to Stop
    • Explain pharmacologic treatments for dementia, including aducanumab.
    • Identify the risks/benefits of initiating pharmacologic dementia treatment with older adults and their families.
    • Identify the common indications for discontinuing pharmacologic dementia treatments and possible impacts on older adults with dementia.
  • Age-Friendly Systems of Care: Implementing the 4Ms
    • Recall the impetus for age-friendly systems of care.
    • List the 4Ms which make up age-friendly care (matters most, mentation, mobility, and medication).
  • Managing Patient Medication Regimens When Polypharmacy is Present
    • Summarize the medication prescribing practices in aging patients in the United States.
    • List helpful tools and practices that can help streamline prescribing medication in aging patients.
  • Transitions of Care: Ensuring Safe & Neglect Free Transitions
    • Interpret the risks to patients at transitions of care.
    • Explore factors that contribute to safe transitions of care.
    • Identify opportunities for improving each factor that contributes to safe transitions of care
    • Analyze how a multidisciplinary approach can reduce older adult neglect after a care transition.
  • Keys to Capacity Evaluation Vulnerable Older Adults
    • Describe the ethics of the components for determining a vulnerable older adults’ capacity to live safety and independently in the community.
    • Identify assessment tools that can be used to screen for older adults’ capacity to live safety and independently in the community.
Course summary
Available credit: 
  • 5.00 AMA PRA Category 1 Credit™
  • 0.50 Ethics
  • 5.00 Participation
Course opens: 
01/18/2022
Course expires: 
03/31/2024
Cost:
$1.00
Rating: 
0

INCLUDED MODULE TOPICS

  • Identification and Management of Delirium
  • Rapid Geriatric Assessment
  • Demographics and Physiologic Aging
  • Depression in Older Adults
  • Management of Dementia Related Behaviors
  • Dementia Treatment: Where to Start, Where to Stop
  • Age-Friendly Systems of Care: Implementing the 4Ms
  • Managing Patient Medication Regimens When Polypharmacy is Present
  • Transitions of Care: Ensuring Safe & Neglect Free Transitions
  • Keys to Capacity Evaluation Vulnerable Older Adults

METHOD OF PARTICIPATION

This activity is in an online video module format and includes didactic presentations.

To receive a certificate you should:

  • View the presentation(s) in this enduring material
  • Complete and submit the CME/CE evaluation form

The estimated time to complete this activity, including review of the materials, is 5.00 hour(s).

Hardware/software requirements: Activities should be run with recent versions of common browsers, including Internet Explorer, Firefox, and Google Chrome.

If you have questions about the participation process, please e-mail the Division of Continuing Professional Development, cpd@bcm.edu.

TERM OF APPROVAL

March 1, 2022 through March 31, 2024. Original release date: March 1, 2022

DISCLAIMER 

This CME/CE activity is designed for use by healthcare professionals for educational purposes only. Information and opinion offered by the contributors represent their viewpoints. Conclusions drawn by the participant should be derived from careful consideration of all available scientific information. Prescription information and use of medical devices should be undertaken only after confirmation of information by consulting the FDA-approved uses and information.

Baylor College of Medicine makes every effort to have accurate information presented, no warranty, expressed or implied, is offered. The participant should use his/her clinical judgment, knowledge, experience, and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.

Links are provided to other Internet sites solely for the convenience of users. Once you link to another site, you are subject to the site's terms and conditions of use including copyright and licensing restrictions.

DRUG/DEVICE STATUS DISCLOSURE

Some drugs/devices identified during this activity may have United States Food and Drug Administration (FDA) clearance for specific purposes only or for use in restricted research settings. The FDA has stated that it is the responsibility of the individual physician to determine the FDA status of each drug or device that he/she wishes to use in clinical practice and to use the products in compliance with the applicable law.

Baylor College of Medicine requires that all contributors disclose an unlabeled use or investigational use (not yet approved for any purpose) of pharmaceutical and medical device products, and provide adequate scientific and clinical justification for such use. Physicians are urged to fully review all the available data on products or procedures before using them to treat patients.

DISCLOSURE POLICY

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CME activities that are scientifically based, accurate, current, and objectively presented.

In  accordance  with  the  ACCME  Standards for  Commercial Support, BCM has  implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity.  Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME’s validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions.  If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator.  Please answer the questions about balance and objectivity in the activity evaluation candidly. 

All of the relevant financial relationships listed for these individuals have been mitigated.

FACULTY DISCLOSURES

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Ali Abbas Asghar-Ali, M.D. - Presenter
Associate Professor
Baylor College of Medicine 
Disclosure: Advisory Committee Member: National Center for Equitable Care for Elders
                    Review Panel Membership: Academic Psychiatry
                    Honorarium Recipient: AETC South Central

The following individual(s) has/have reported no financial or other relationships with commercial entities whose products/services may relate to the educational content of this activity:

Angela Catic, M.D. M.Ed. - Co-Activity Director, Presenter
Assistant Professor and Fellowship Program Director
Medicine-Geriatrics and Palliative Medicine
Baylor College of Medicine
Co-PI, Southeast Texas GWEP
Staff Physician, Michael E. DeBakey VA Medical Center, Houston
Disclosure: Nothing to disclose

Julianna Fernandez, Pharm.D., BCGP - Presenter
Clinical Associate Professor and Vice Chair of Pharmacy Practice and Translational Research
University of Houston College of Pharmacy
Disclosure: Nothing to disclose

Julia A. Hiner, M.D. - Presenter
Assistant Professor 
Geriatric and Palliative Medicine
McGovern Medical School
Disclosure: Nothing to disclose

Syed Nasrat Imam, M.D. - Co-Activity Director
Associate Professor
Medicine-Geriatrics and Palliative Medicine
Baylor College of Medicine
Medical Director, Connected Care
Michael E. DeBakey VA Medical Center, Houston, Texas
Disclosure: Nothing to disclose

Aanand Naik, M.D. - Presenter, Planning Committee
Professor and Section Chief 
Medicine-Geriatrics and Palliative Medicine 
Baylor College of Medicine 
Disclosure: Nothing to disclose

Jennifer Ouellet, M.D. - Presenter
Assistant Professor 
Geriatric Internal Medicine
Baylor College of Medicine 
Disclosure: Nothing to disclose

George Taffet, M.D. - Presenter, Planning Committee
Professor of Medicine 
Baylor College of Medicine 
Disclosure: Nothing to disclose

In February 2022, this continuing medical education online enduring activity was reviewed by: Mary Garcia, M.D. and Natalie Mondragon, M.D. To ensure the continued scientific relevance of this enduring material, its content will be reviewed again in February 2024.

Mary Garcia, M.D. - Peer Reviewer
Geriatric Fellow
Department of Geriatrics and Palliative Medicine
Baylor College of Medicine
Disclosure: Nothing to disclose

Natalie Mondragon, M.D. - Peer Reviewer
Fellow Physician
Department of Geriatrics
Baylor College of Medicine
Disclosure: Nothing to disclose

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  

Baylor College of Medicine designates this enduring activity for a maximum of 5.00 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The presentation, Keys to Capacity Evaluation Vulnerable Older Adults, has been designated by Baylor College of Medicine for 0.50 credits of education in medical ethics and/or professional responsibility.

Available Credit

  • 5.00 AMA PRA Category 1 Credit™
  • 0.50 Ethics
  • 5.00 Participation

Price

Cost:
$1.00
Please login or register to take this course.

Please note all sales are final.

A subscription is valid for 3 months from the date of enrollment to review lectures, complete the Evaluation and claim credit.

Required Hardware/software

Activities should be run with recent versions of common browsers, including Internet Explorer, Firefox, and Google Chrome.

If you are experiencing any issues, please contact us at cpd@bcm.edu