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INTRODUCTION

ABIM MOC Activity ID

1/28/2020 - Medical Grand Rounds: Geriatric Medicine Year in Review

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.00

Target Audience:

Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Recognize the need to include patient values and preferences in formulation of treatment plans.
  • Improve patient safety in older adults hospitalized for non-cardiac conditions by avoiding unnecessary anti-hypertensive medication adjustments during the acute-care stay.
  • Apply clinical practice recommendations to improve the diagnosis and treatment of uncomplicated cystitis in frail older adults.

Suggested Additional Reading:

  1. Clinician-family communication about patients values and preferences in ICUs (Scheunemann article) JAMA Internal Medicine doi:10.1001/jamainternmed.2019.0027
  2. Association of patient priorities-aligned decision-making with patient outcomes and ambulatory health care burden among older adults with multiple chronic conditions. (Tinetti et al.) JAMA Internal Medicine 2019 doi:10.1001/jamainternmed.2019.4235.
  3. Hajduk et al. Association between mobility measured during hospitalization and functional outcomes in older adults with acute myocardial infarction in the SILVER-AMI Study. JAMA Intern Med 2019;179(12):1669-1677. Doi: 10.001/jamainternmed.2019.4114.
  4. Effect of exercise intervention on functional decline in very elderly patients during acute hospitalization (from Spain). JAMA intern Med 2019:179 (1):28-36.
  5. Clinical Outcomes After Intensifying Antihypertensive medication Regimens Among Older Adults at Hospital Discharge JAMA Intern Med 2019 Doi:10.1001/jamainternmed.2019.3007
  6. The Improving Outcomes of UTI Management in Long-Term Care Project (IOU) Consensus Guidelines for the Diagnosis of Uncomplicated Cystitis in Nursing Home Residents. J Am Med Dir Assoc. 2018 Sep;19(9):765-769.e3. doi: 10.1016/j.jamda.2018.05.030
  7. The IOU Consensus Recommendations for Empirical Therapy of Cystitis in Nursing Home Residents. J Am Geriatr Soc. 2019 Mar;67(3):539-545. doi: 10.1111/jgs.15726.
  8. American Geriatrics Society. American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, J Am Geriatr Soc 67:674-694, 2019.
  9. van Dyck CH. Anti-Amyloid-B Monoclonal Antibodies for Alzheimer's Disease: Pitfalls and Promise. Biological Psychiatry 2018;83:311-319.
  10. Howard R, Liu KY. Questions EMERGE as Biogen Claims Aducanumab Turnaround. Nature Reviews Neurology doi.org/10.1038/s41582-019-0295-9.

Authors:
David Nace, MD, MPH — Associate Professor of Medicine, Geriatric Medicine Director of Long Term Care & Flu Programs Medical Director, Institute on Aging University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Fred Rubin, MD — Professor of Medicine, Geriatric Medicine Chairman, Department of Medicine at UPMC Shadyside University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Authors disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits. Each physician should only claim credit commensurate with the extent of their participation in the activity.

The University of Pittsburgh is an affirmative action, equal opportunity institution.