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28th Annual Clinical Update inGERIATRICMEDICINEMarch 5-7, 2020Marriott Pittsburgh City CenterPittsburgh, PennsylvaniaCourse DirectorsShuja Hassan, MDNeil M. Resnick, MDLyn Weinberg, MDJointly provided by:The Pennsylvania Geriatrics Society – Western DivisionUniversity of Pittsburgh Division of Geriatric MedicineandUniversity of Pittsburgh School of MedicineCenter for Continuing Education in the Health Sciences
28th Annual Clinical Update inGERIATRICMEDICINEThank You .to the following who provided supportThis conference provides a partnership effort of:Premier Partner UPMC Health PlanPartnering Institutions Allegheny Health Network — Forbes Family Medicine Residency Program Community LIFE Heritage Valley Health System Highmark Blue Cross Blue Shield and Allegheny Health Network University Center for Social and Urban Research, Geriatric WorkforceEnhancement Program UPMC McKeesport Family Medicine Residency Program UPMC Shadyside UPMC St. Margaret Washington Health System Geriatrics FellowshipOne-Stop Guide to Everything to See and Do in Pittsburgh!Visit the link below to explore all Pittsburgh has to offer, including ideas on dining, attractionsand events scheduled during your linical-update-in-geriatric-medicine/2
IntroductionLearning ObjectivesAs the population continues to age, we are all seeing a tidal wave of olderpersons in our hospitals, clinics and nursing homes. Moreover, the fastestgrowing segment of the population comprises individuals above the age of 85years. The purpose of our conference is to provide an evidence-basedapproach to help clinicians take exceptional care of these often-frail individuals.At the end of this course, participants should be able to: Expertise — which in most cases is nationally-recognized and often responsible for the advances relativeto practice “Deprescribing” by co-author of the updated Beers List(Linnebur) “Osteoporosis” by the President of the National Osteoporosis Foundation (Greenspan) “Immunizations” by a member of the ACIP and AMDA’sPresident (Nace) “Diabetes in the Elderly” by a co-author of ADA’s NationalGuidelines (Korytkowski) Geriatric Cardiology Symposium featuring authors ofAHA/ACC Guidelines for the Elderly Practical tips on Difficult Conversations by the co-developerof the acclaimed “VitalTalk” (Arnold) State of the Art updates on geriatric syndromes, each tailoredto relevant clinical settings Evidence-based solutions for multiple other relevant topics,including geriatric psychiatry, insomnia, electrolyte disorders,common infections, the hot joint, and pressure ulcers. Practical, implementable pearls on hearing aids, podiatry,dermatology, dentistry, elder abuse, etc. Special sessions on Wellness and the Ins/Outs and Consequences of “Obs” Admissions Interactive Panel Discussions and breakout sessions, allowing attendees to design their own course, and affordingclose interactions with experts on challenging topics andreal-world cases Get answers to specific clinical questions from their own practiceCME – In support of improving patient care, this activity has been plannedand implemented by the University of Pittsburgh and the PennsylvaniaGeriatrics Society – Western Division. The University of Pittsburgh is jointlyaccredited by the Accreditation Council for Continuing Medical Education(ACCME), the Accreditation Council for Pharmacy Education (ACPE), and theAmerican Nurses Credentialing Center (ANCC), to provide continuingeducation for the healthcare team.Topics and StructureAGS President discusses “The 4 Ms” (mentation, mobility,meds, and what matters)Understand innovative new initiatives and programs to improve the care ofthe older patientContinuing Education Credit Ability to convey information, in a practical, succinct,and entertaining way that will allow attendees toimmediately incorporate lessons into their practice Understand how the approach to geriatric care differs by clinical setting This course is designed for family practitioners, internists, geriatricians, andother health care professionals who provide care to older adults. Previousattendees will also be interested because of the conference’s continuallychanging topics, speakers and approach.Speakers — Handpicked by a multidisciplinary committeeof clinicians from academics, practice, and the payercommunity. Selection was based on two criteria:“Year in Review” highlighting recent advances/controversiesProvide evidence-based updates for common geriatric disorders Who Should AttendHighlights Physicians – The University of Pittsburgh School of Medicine designates thislive activity for a maximum of 20.0 AMA PRA Category 1 Credits. Physiciansshould only claim credit commensurate with the extent of their participationin the activity.Nursing (CNE) – The maximum number of hours awarded for thisContinuing Nursing Education activity is 20.0 contact hours.Pharmacy (CPE) – This knowledge-based activity provides 20.0 contacthours of continuing pharmacy education credit.Social Work — As a Jointly Accredited Organization, University of Pittsburgh isapproved to offer social work continuing education by the Association of SocialWork Boards (ASWB) Approved Continuing Education (ACE) program.Organizations, not individual courses, are approved under this program. Stateand provincial regulatory boards have the final authority to determine whetheran individual course may be accepted for continuing education credit. Universityof Pittsburgh maintains responsibility for this course. Social workers completingthis course receive 20.0 continuing education credits.Other health care professionals — Other health care professionals willreceive a certificate of attendance confirming the number of contact hourscommensurate with the extent of participation in this activity.Thursday 9.0; Friday 7.75; Saturday 3.25The 20.0 credit hours includes the dinner; that is a one-hourpresentation (1 credit).For more information on conference details and credit offerings, please visitour website: https://cce.upmc.com, or email CCEHS [email protected] “How do I get my credits?” on page 7.3
ScheduleThursday, March 5, 2020Friday, March 6, 20207:00 amRegistration and Continental Breakfast7:00 amRegistration and Continental Breakfast7:25 amWelcome and AnnouncementsShuja Hassan, MD7:30 amWelcome and AnnouncementsShuja Hassan, MDIssues in Geriatrics III: CardiologyModerator: Daniel Forman, MDIssues in Geriatrics IModerator: Christine Herb, MD7:30 amHyponatremia Made Ridiculously SimpleKhaled Nashar, MD7:35 amStatin Therapy for Older Adults: Evolving Conceptsof ManagementDaniel Forman, MD8:05 amThe Hot JointMary Chester Wasko, MD, MSc8:05 am8:40 amDe-Prescribing in an Era with Diagnosis Drift and PolypillsSunny Linnebur, PharmDHypertension Treatment in Older Adults: BalancingEfficacy with SafetyAshok Krishnaswami, MD, MAS8:40 amHeart Failure with Preserved Ejection Fraction —Embracing ComplexityParag Goyal, MD, MSc9:15 amOral Anticoagulation and Stroke Prevention Strategiesin Older Adults with Atrial FibrillationDeirdre O’Neill, MD, MSc9:50 amCardiology Expert Panel Q&ADaniel Forman, MD; Parag Goyal, MD, MSc;Ashok Krishnaswami, MD, MAS; Deirdre O’Neill, MD, MSc10:20 amBREAK – VISIT WITH EXHIBITORS10:40 amBreakout Workshop I (repeats at 11:20 am)9:25 amBREAK – VISIT WITH EXHIBITORS9:40 amVaccinations in the ElderlyDavid Nace, MD, MPH10:15 amCommon Infections in the Geriatric PopulationNathan Shively, MD10:50 amGeriatrics: The Year in ReviewDavid Nace, MD, MPH and Fred Rubin, MD11:50 amLunchIssues in Geriatrics IIModerator: Fred Rubin, MD12:40 pmFalls – Clinical PearlsRollin Wright, MD, MPH, MS1:20 pmNeurocognitive Disorders — Diagnostic StrategiesDaniel Varon, MD2:00 pmUpdate on Bone HealthSusan Greenspan, MD2:40 pmBREAK – VISIT WITH EXHIBITORS3:00 pmManaging IncontinenceNeil Resnick, MD3:40 pmExpert Panel Q&ARollin Wright, MD, MPH, MS; Daniel Varon, MD;Susan Greenspan, MD; Neil Resnick, MD4:20 pmClinician WellnessThomas Campbell, MD, MPH4:50 pmThursday Adjournment5:15 pmDinner Symposium – 4M’s: Medication in an Age FriendlyHealth SystemSunny Linnebur, PharmDA. Ask the EndocrinologistMary Korytkowski, MDB. Abuse, Neglect and Exploitation of Older Adults:A Primer for Primary Care PractitionersLena Makaroun, MD, MSC. Ask the PsychiatristJames Tew, MDD. Ask the DentistElaine Berkowitz, DMD11:20 amBreakout Workshop II (Repeated from 10:40)A. Ask the EndocrinologistMary Korytkowski, MDB. Abuse, Neglect and Exploitation of Older Adults:A Primer for Primary Care PractitionersLena Makaroun, MD, MSC. Ask the PsychiatristJames Tew, MDD. Ask the DentistElaine Berkowitz, DMDNoon4LUNCH
ScheduleSaturday, March 7, 2020Issues in Geriatrics IVModerator: Namita Ahuja Yende, MD, MMM7:30 amRegistration and Coffee12:45 pmGeriatric Teacher of the Year Award PresentationRollin Wright, MD, MPH, MS1:00 pmCase Studies in LFT AbnormalitiesMichael Babich, MD8:00 amEarly and Late Discussions of Goals of CareRobert Arnold, MD1:35 pmWhy is My Patient in Observation Status?What Can I Do About It?Eric Rodriguez, MD, MPhil9:00 amSleep Apnea in the ElderlySanjay Patel, MD, MS2:10 pmGeriatric Dermatology for the Non-DermatologistJustin Vujevich, MD9:35 amTreating Diabetes in the Older AdultPatricia Bononi, MD2:55 pmBREAK — VISIT WITH EXHIBITORS10:10 amBREAK3:10 pmBreakout Workshop III (Repeats at 3:50)10:25 amWound Care 101Elisa Taffe, MD, CWSP11:00 amHazards of HospitalizationLyn Weinberg, MD11:35 amClosing Remarks and Conference AdjournmentIssues in Geriatrics VModerator: Melissa Connelly, DNPE. Evaluation and Treatment/Injection of CommonShoulder ComplaintsMatthew Flanagan, DOF. Hearing Loss: Evaluation and ManagementLori Zitelli, AuDG. Podiatry in the ElderlyJessica Sciulli, DPMH. Ask the Cardiologist: 5 Most Common HospitalCardiology ConsultsKrishna Tummalapalli, MD3:50 pmOne-Stop Guide to Everythingto See and Do in Pittsburgh!Breakout Workshop IV (Repeated from 3:10)E. Evaluation and Treatment/Injection of CommonShoulder ComplaintsMatthew Flanagan, DOF. Hearing Loss: Evaluation and ManagementLori Zitelli, AuDG. Podiatry in the ElderlyJessica Sciulli, DPMH. Ask the Cardiologist: 5 Most Common HospitalCardiology ConsultsKrishna Tummalapalli, MD4:30 pmVisit the link below to exploreall Pittsburgh has to offer,including ideas on dining, attractions and eventsscheduled during your linical-update-in-geriatric-medicine/Friday AdjournmentCME Presentations:https://cce.upmc.com/presentations geriatrics5
Course DirectorsLocal FacultyShuja Hassan, MDAssistant Professor of Medicine, GeriatricsUniversity of Pittsburgh School of MedicineMedical Director, UPMC Canterbury PlaceRobert Arnold, MDDistinguished Service Professor of MedicineChief, Section of Palliative Care and Medical EthicsDirector, Institute for Doctor-PatientCommunicationUniversity of Pittsburgh School of MedicineMedical Director, UPMC Palliative andSupportive InstituteNeil M. Resnick, MDThomas Detre Professor of MedicineUniversity of Pittsburgh School of MedicineChief, Division of Geriatric MedicineDirector, Hartford Foundation Centerof Excellence in Geriatric MedicineAssociate Director, Aging Institute of UPMCand University of PittsburghLyn Weinberg, MDAssistant Professor of MedicineTemple University School of MedicineDivision Director of GeriatricsMedical Director, Hospital Elder Life ProgramAllegheny Health NetworkGuest FacultyParag Goyal, MD, MScAssistant Professor of MedicineDirector, Heart Failure with PreservedEjection Fraction ProgramDivisions of Cardiology and GeneralInternal MedicineWeill Cornell MedicineNew York, New YorkAshok Krishnaswami, MD, MASCardiologistClinician ResearcherKaiser Permanente, San Jose Medical CenterSan Jose, CaliforniaSunny Linnebur, PharmDProfessorGeriatric PharmacistUniversity of Colorado School of PharmacyAurora, ColoradoDeirdre O’Neill, MD, MScAssistant Professor of MedicineDivision of CardiologyUniversity of Alberta HospitalEdmonton, Alberta, CanadaMichael Babich, MDAssociate Professor of MedicineTemple University School of MedicineDirector, GI Fellowship ProgramAllegheny General HospitalAllegheny Health NetworkElaine Berkowitz, DMDGeriatric and Special Needs DentistryPatricia Bononi, MDMedical Director, Center for DiabetesAllegheny Health NetworkThomas P. Campbell, MD, MPHChairman, Emergency MedicineChief Wellness OfficerAllegheny Health NetworkMatthew Flanagan, DOPrimary Care Sports MedicineAllegheny Orthopedic AssociatesAllegheny Health NetworkDaniel Forman, MDProfessor of MedicineDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineChair, Geriatric Cardiology, UPMCDirector, Cardiac RehabilitationVA Pittsburgh Healthcare SystemSusan L. Greenspan, MDProfessor of Medicine and Clinical andTranslational ScienceDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineDirector, Osteoporosis Prevention andTreatment Center, UPMCDirector, Bone Health, Magee-WomensHospital of UPMCMary Korytkowski, MDProfessor of MedicineDivision of EndocrinologyUniversity of Pittsburgh School of Medicine6Lena Makaroun, MD, MSAssistant ProfessorDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineCore Investigator, VA Pittsburgh Center for HealthEquity Research and PromotionDave Nace, MD, MPHAssociate Professor of MedicineClinical Chief, Division of Geriatric MedicineUniversity of Pittsburgh School of MedicineDirector, Long Term CareChief of Medical Affairs, UPMC SeniorCommunitiesKhaled Nashar, MDClinical Assistant ProfessorDirector, Division of Nephrology andHypertensionTraining Program Director, NephrologyFellowshipAllegheny Health NetworkSanjay Patel, MD, MSProfessor of Medicine and EpidemiologyUniversity of Pittsburgh School of MedicineDirector, Center for Sleep and CardiovascularOutcomes ResearchMedical Director, UPMC Comprehensive SleepDisorders ProgramNeil M. Resnick, MDThomas Detre Professor of MedicineUniversity of Pittsburgh School of MedicineChief, Division of Geriatric MedicineDirector, Hartford Foundation Centerof Excellence in Geriatric MedicineAssociate Director, Aging Institute of UPMC andUniversity of PittsburghEric Rodriguez, MD, MPhilAssociate Professor of MedicineDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineFred Rubin, MDProfessor of MedicineDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineChief of Medicine, UPMC ShadysideJessica Sciulli, DPMPodiatristSciulli Foot and Ankle Clinics LLC.
Nathan Shively, MDMedical Director, AntimicrobialStewardship ProgramAllegheny Valley HospitalAllegheny Health NetworkElisa C. Taffe, MD, CWSPMedical Director, Allegheny General HospitalAdvanced Wound Healing andLymphedema CenterAllegheny Health NetworkJames Tew, MDAssociate Professor of PsychiatryUniversity of Pittsburgh School of MedicineAssociate Chief, WPIC InpatientMedical Director, Quality & Clinical PathwaysKrishna Tummalapalli, MDClinical Instructor of MedicineDivision of CardiologyUniversity of Pittsburgh School of MedicineDaniel Varon, MDAssistant Professor of PsychiatryUniversity of PittsburghJustin Vujevich, MDMedical Director, Vujevich Dermatology AssociatesChief, Dermatology, St. Clair HospitalChief, Dermatology, The Washington HospitalMary Chester Wasko, MD, MScDivision Director, RheumatologyAllegheny Health NetworkLyn Weinberg, MDAssistant Professor of MedicineTemple University School of MedicineDivision Director, GeriatricsMedical Director, Hospital Elder Life ProgramAllegheny Health NetworkRollin Wright, MD, MS, MPHAssistant Professor of MedicineDivision of Geriatric MedicineUniversity of Pittsburgh School of MedicineDirector, Geriatric Track ProgramUPMC Internal Medicine ResidencyTraining ProgramLori Zitelli, AuDAudiologistUPMC Eye & Ear InstitutePlanning CommitteeNamita Ahuja, MDDaphne Bicket, MDJudith S. Black, MD, MHAMelissa Connelly, DNPLauren Dornin, DNP, AGNPShuja Hassan, MDChristine Herb, MDJordan F. Karp, MDDavid Nace, MD, MPHKaren A. Powers, MDNeil M. Resnick, MDBenjamin Reynolds, MSPAS, PA-CFred Rubin, MDVictor M. Rudkin, MDHeather Sakely, PharmDLianne Glaus Vighetti, DHCE, LSWLyn Weinberg, MDPharmacists: As required by the Accreditation Council for Pharmacy Education(ACPE) credits for will be uploaded to the National Association of Boards ofPharmacy (NABP) within 60 days of completion. It is the responsibility of thepharmacist/pharmacy technician to provide the correct NABP Board ID andDOB. To review/edit your information, access your UPMC continuingeducation account at http://cce.upmc.com and choose “My Account.”How do I get my credits?This activity is approved for AMA PRA Category 1 Credit , ACPE, ANCCand ASWB credit.The UPMC Center for Continuing Education in the Health Sciences (CCEHS)implemented a new continuing education portal, http://cce.upmc.com toregister, view, track and manage your continuing education credits. To receivecredit for this activity, all participants will be required to login and completethe course evaluation and claim credits. The course evaluation will beavailable at the end of Day 1 and must be completed within 14 days. Uponcompletion of the course evaluation, certificates will be available to downloadand stored for future reference in your Completed Activities.The information presented at this CME program represents the views and opinions of the individualpresenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMCCenter for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh MedicalCenter or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have beentaken intending for educational subject matter to be presented in a balanced, unbiased fashion and incompliance with regulatory requirements. However, each program attendee must always use his/herown personal and professional judgment when considering further application of this information,particularly as it may relate to patient diagnostic or treatment decisions including, without limitation,FDA-approved uses and any off-label uses. The Center for Continuing Education and the sponsoringdepartment do not certify that through participation in this program participants are competent toperform certain procedures or skills.Please note the following:AAFP Members: Please sign in at the registration desk and provideyour AAFP number.Special NeedsSocial Workers: Please sign in and out at the registration desk each day.Participation by all individuals is encouraged. Advance notificationof any special needs will help us provide better service. Pleasenotify us of your needs at least two weeks in advance of theprogram by calling (412) 321-5030.Nurse Practitioners: Pharmacotherapeutics contact hours were notpredesignated by the speaker. These hours may be self-claimed. Theeducational presentation or conference agenda should be maintained asevidence to validate the contact hour calculation.7
Thank Youto the following who provided support:ExhibitorsAbbvieAlzheimer’s AssociationAmarin PharmaAmedisys IncAmgenAvanir PharmaceuticalsCommunity LIFEEncompass Health HarmarvilleRehabilitation HospitalGlaxoSmithKlineOptumHikma Specialty USA IncJanssen PharmaceuticalCompanies ofJohnson & JohnsonPfizer, Inc.Pfizer VaccinesPresbyterian SeniorCare NetworkSanofi PasteurMerckNovartis PharmaceuticalsNovo NordiskOasis Senior AdvisorsTakedaUPMC Centers forRehab ServicesPlan on visiting the EXHIBIT AREA to discuss each vendor’s products and services.Vendor Bingo Reminder!How to Participate: Take your Vendor Bingo Card when visiting the exhibit area.Receive a vendor’s initials from at least 15 participating vendor booths.We will consider your card “full” and eligible to enter the drawing when you receive 15 vendor initials.Deadline and Drawing: Drop your vendor card off at the Registration Desk no later than Friday, March 6th at 3:15 pm. The drawing will be heldimmediately following the afternoon break on Friday, March 6th.Winners’ names will be posted at the registration desk, where each can claim their prize.Winners must be present!Faculty DisclosuresAll individuals in a position to control the content of this educational activity including members of the planning committee, speakers, presenters,authors, and/or content reviewers have disclosed all relevant financial relationships with any proprietary entity producing, marketing, re-selling,or distributing health care goods or services, used on, or consumed by, patients.The following relevant financial relationships were disclosed:Michael Babich, MD, receives salary/royalties from North Shore Endoscopy Center, LLCand is part of the speakers’ bureau for Gilead, Abbvie, Salix, and Intracept Pharmaceuticals.Patricia Bononi, MD, is a consultant for Eli Lilly, Medtronic, Novo Nordisk, and Sanofi.Susan L. Greenspan, MD, receives grant/research support from Amgen and Radius.Sanjay R. Patel, MD, MS, receives grant/research support from Bayer Pharmaceuticals, Philips Respironics, and Respicardia.No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone elsein a position to control the content of this educational activity have relevant financial relationships to disclose.8
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D. Ask the Dentist Elaine Berkowitz, DMD 11:20 am Breakout Workshop II(Repeated from 10:40) A. Ask the Endocrinologist Mary Korytkowski, MD B. Abuse, Neglect and Exploitation of Older Adults: A Primer for Primary Care Practitioners Lena Makaroun, MD, MS C. Ask the Psychiatrist James Tew, MD D. Ask the
