The Johns Hopkins Division of Geriatric Medicine and Gerontology presents Edmund G. Beacham 37th Annual Current Topics in Geriatrics Thursday - Saturday ? February 4 ? 6, 2010 Sheraton Inner Harbor Hotel 300 South Charles Street Baltimore, Maryland 21201 Jointly-provided by The Institute for Johns Hopkins Nursing Dr. Beacham?s vision when he developed the course in 1972 was to provide scientifically-based practical, clinical talks focused on improving the health care of individual seniors. It is in that spirit that we dedicate Topics in Geriatrics to his memory. Dr. Beacham died in May 2008 at the age of 93. Through this and subsequent courses, we will bring together many of his trainees and colleagues to give the sort of talks that he demanded. This activity has been approved for 17.75 AMA PRA Category 1 Credits? Description The aging of the American population is well known and significantly impacts many aspects of health care needs and delivery. Most physicians have received very little or no formal geriatrics training, despite this growing trend in the number of elderly patients they care for. Surveys demonstrate that physicians commonly report discomfort and dissatisfaction with providing care to the elderly. Further, studies evaluating standard quality indicators for the care of the vulnerable elderly show quite poor quality of care. Elderly patients with multiple comorbidities report high rates of dissatisfaction with their health care. This activity is designed to provide practical information to clinicians and healthcare professionals who care for elderly patients; it will improve knowledge about diseases and syndromes common in the elderly and offer practical and effective guides to their management. Who Should Attend This activity is intended for geriatricians, internists, family practitioners, physician assistants, nurses, nurse practitioners and nursing home administrators. Objectives After attending this activity, the participant will demonstrate the ability to: ? Recognize common geriatric syndromes and initiate treatment for these syndromes. ? Identify approaches to and limits of management of specific disease of organ systems that are common in the elderly (e.g., dementia, osteoporosis). ? Describe important research developments that influence the clinical care of geriatric patients. Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 17.75 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing Credit ANCC The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center?s Commission on Accreditation. This 17.6 contact hour Educational Activity is provided by The Institute for Johns Hopkins Nursing. AANP The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 061216. This program has been granted 17.6 contact hours of continuing education (pharmacology hours are pending). Other Credit American Academy of Family Physicians (AAFP) Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. American Academy of Physician Assistants (AAPA) This activity has been reviewed and is acceptable for up to 17.75 Prescribed credits by the American Academy of Family Physicians. American Geriatrics Society (AGS) This CME activity is endorsed by the American Geriatrics Society. Credits earned from this activity may be counted toward the AGS Geriatrics Recognition Award. Maryland State Board of Examiners of Nursing Home Administrators ? ceu approval pending Policy on Speaker and Provider Disclosure It is the policy of The Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentations. The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. Speakers Activity Directors John Burton, MD Professor of Medicine Division of Geriatric Medicine and Gerontology Danelle Cayea, MD, MS Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Colleen Christmas, MD Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Jennifer Hayashi, MD Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Jane Marks, RN, MS Associate Director Johns Hopkins Geriatric Education Center Consortium Hopkins Faculty Lawrence Appel, MD, MPH Professor of Medicine Welch Center Prevention, Epidemiology, and Clinical Research Professor of Epidemiology and International Health (Human Nutrition) Johns Hopkins University Bloomberg School of Public Health Alicia Arbaje, MD, MPH Assistant Professor of Medicine Associate Director, Transitional Care Research Division of Geriatric Medicine and Gerontology Michele Bellantoni, MD Associate Professor of Medicine Division of Geriatric Medicine and Gerontology Ilene Browner, MD Instructor in Medical Oncology Grace Cordts, MD, MPH, MS Assistant Professor of Medicine Medical Director, Palliative Care Consult Service Associate Medical Director, Division of Geriatric Medicine and Gerontology K. Eric DeJonge, MD Assistant Professor of Medicine Director of Geriatrics Washington Hospital Center Washington, DC Danielle Doberman, MD, MPH Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Medical Director, Palliative Medicine Program Greater Baltimore Medical Center Samuel Durso, MD, MBA, AGSF Associate Professor of Medicine Interim Director, Division of Geriatric Medicine and Gerontology Michael Fingerhood, MD Associate Professor of Medicine Medical Director, Comprehensive Care Practice Department of Medicine ? Chemical Dependency Thomas Finucane, MD Professor of Medicine Division of Geriatric Medicine and Gerontology F. Michael Gloth, MD Associate Professor of Medicine Division of Geriatric Medicine and Gerontology William Greenough, MD Professor of Medicine Division of Geriatric Medicine and Gerontology Professor of International Health Johns Hopkins University Bloomberg School of Public Health Bruce Leff, MD Associate Professor of Medicine Division of Geriatric Medicine and Gerontology Associate Professor of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health Rafael Llinas, MD Associate Professor of Neurology Simon Mears, MD, PhD Assistant Professor of Orthopaedic Surgery Chief, Total Joint Arthroplasty and Trauma Ann Morrison, PhD, RN Education Core Coordinator Johns Hopkins Alzheimer?s Disease Research Center Esther Oh, MD Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Paul Rosenberg, MD Assistant Professor of Psychiatry and Behavioral Sciences Division of Geriatric Psychiatry and Neuropsychology Daniel Sheridan, PhD, RN, FAAN Associate Professor Institute for Johns Hopkins Nursing Sumeska Thavarajah, MD Instructor in Medicine Division of Renal Medicine Carlos Weiss, MD, MHS Assistant Professor of Medicine Division of Geriatric Medicine and Gerontology Susan Zieman, MD Assistant Professor of Medicine Division of Cardiology Guest Faculty Stephen Reich, MD Professor of Neurology University of Maryland School of Medicine Baltimore, Maryland George Taler, MD Director, Long Term Care Washington Hospital Center Co-Director, Medical House Call Program Vice President, Medical Affairs of MedStar Home Health-VNA Medical Director, Northwest Health Care Center Washington, DC Program Thursday, February 4, 2010 9:00 - 10:00 Registration and Continental Breakfast 10:00 - 10:30 Across the Health Care System: Practical Approaches to Better Transitions Alicia Arbaje, MD, MPH 10:30 - 11:00 Substance Abuse in Seniors: An Unrecognized and Common Problem Michael Fingerhood, MD 11:00 - 11:30 Aching Hips and Knees: What to Do Before Referring to a Surgeon Simon Mears, MD, PhD 11:30 - 11:50 Panel Discussion Alicia Arbaje, MD, MPH; Michael Fingerhood, MD; Simon Mears, MD, PhD 11:50 - 12:00 Boxed Lunch: Bring to Concurrent Sessions CONCURRENT SESSIONS 12:00 - 12:35 Clinical Shuffle I Activity Directors and Invited Faculty 12:35 - 12:45 Break 12:45 - 1:20 Clinical Shuffle II Activity Directors and Invited Faculty 12:00 - 1:20 Nursing and Nursing Home Administrator Breakout Elder Abuse: Recognizing the Hidden Signs Daniel Sheridan, PhD, RN, FAAN 1:30 - 2:00 Treating Seniors with Depression Paul Rosenberg, MD 2:00 - 2:30 Update on Dementia: What?s on the Horizon Esther Oh, MD 2:30 - 3:00 Managing Difficult Behaviors in Patients with Dementia Ann Morrison, PhD, RN 3:00 - 3:20 Panel Discussion Ann Morrison, PhD, RN; Esther Oh, MD; Paul Rosenberg, MD 3:20 - 3:40 Refreshment Break 3:40 - 4:40 Shakes and Tremors: An Approach to Assessment Stephen Reich, MD 4:40 - 5:30 Five Neurological Pearls for Everyday Practice Rafael Llinas, MD Friday, February 5, 2010 8:00 - 8:30 Continental Breakfast 8:30 - 9:00 Getting your Nonagenerian through Surgery K. Eric DeJonge, MD 9:00 - 9:30 Delirium: Under-Appreciated and Under-Recognized Bruce Leff, MD 9:30 - 10:00 Keeping the Skin Intact and What to Do When You Can?t William Greenough, MD 10:00 - 10:20 Panel Discussion K. Eric DeJonge, MD; Bruce Leff, MD; William Greenough, MD 10:20 - 10:40 Refreshment Break 10:40 - 11:10 A Gero-Oncologist?s Advice on Cancer Screening in the Very Old Ilene Browner, MD 11:10 - 11:40 Managing Elderly Patients with Chronic Pain: A Practical Approach Grace Cordts, MD, MPH, MS 11:40 - 12:10 What You Should Know about Hospice and Advanced Care Planning Danielle Doberman, MD, MPH 12:10 - 12:30 Panel Discussion Ilene Browner, MD; Grace Cordts, MD, MPH, MS; Danielle Doberman, MD, MPH 12:30 - 2:00 Lunch on Own 2:00 - 2:30 Atrial Fibrillation in the Very Old: Making Tough Choices Susan Zieman, MD 2:30 - 3:00 Hypertension in Seniors: How Low to Go and other BP Matters Lawrence Appel, MD, MPH 3:00 - 3:30 Controlling Diabetes: How Tight a Target? Samuel Durso, MD, MBA, AGSF 3:30 - 3:50 Panel Discussion Lawrence Appel, MD; Samuel Durso, MD, MBA, AGSF; Susan Zieman, MD 3:50 - 4:10 Refreshment Break 4:10 - 4:50 The Older Patient with a Mild to Moderate Elevation of Creatinine: A Practical Approach for the Generalist Sumeska Thavarajah, MD 4:50 - 5:50 THE EDMUND G. BEACHAM MEMORIAL LECTURE Perspectives in Caring for the Vulnerable Senior George Taler, MD 5:50 - 7:00 Reception Saturday, February 6, 2010 7:30 - 8:00 Continental Breakfast 8:00 - 8:30 Top 5 Journal Articles of 2009 Colleen Christmas, MD 8:30 - 9:00 At Home and Unsafe Jennifer Hayashi, MD 9:00 - 9:30 Drugs to Avoid in Seniors Thomas Finucane, MD 9:30 - 9:50 Panel Discussion Colleen Christmas, MD; Thomas Finucane, MD; Jennifer Hayashi, MD 9:50 - 10:05 Refreshment Break 10:05 - 10:35 Falls: Tips for Assessment and Strategies to Prevent Carlos Weiss, MD, MHS 10:35 - 11:05 Vitamin D Deficiency in Seniors: Who Has this Problem and What Are the Treatment Strategies? Practical Guidelines F. Michael Gloth, MD 11:05 - 11:35 Osteoporosis: Practical Pearls for the Generalist Michele Bellantoni, MD 11:35 - 11:55 Panel Discussion Michele Bellantoni, MD; F. Michael Gloth, MD; Carlos Weiss, MD, MHS 11:55 Adjourn The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality and scientific integrity of this CME/CNE activity. This schedule is subject to change. Acknowledgement Applications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. Special thanks to the Johns Hopkins Geriatric Education Center Consortium for their continuing support. To Register or for Further Information Register Online www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9634 Register by Fax (866) 510-7088 Confirmation/Certificates (410) 502-9634 General Information (410) 955-2959 E-mail the Office of CME cmenet@jhmi.edu For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80022106. General Information Registration February 4, 2010 - 9:00 am ? Constellation Foyer Location Sheraton Inner Harbor Hotel 300 South Charles Street Baltimore, Maryland Phone: (888) 962-8300 or (410) 962-8300 FAX: (410) 962-8211 Directions and parking information are available at http://www.starwoodhotels.com/sheraton/property/area/directions.html?propertyID=197. Parking Information Commuter parking is $10 daily. Please bring your parking coupon to the registration desk to have it stamped each day of the conference. Guests of the hotel are direct billed to their room portfolio and will be charged at the rate of $24 daily. Fees REGISTRATION CUT-OFF DATE: JANUARY 29, 2010 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfasts, refreshment breaks and lunches. Physicians $ 500 Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/Allied Health Professionals $ 400 *with verification of status You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by January 29, 2010, call (410) 502-9634 to confirm that you are registered. Certificates of attendance will be mailed by March 22, 2010. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible. Late Fee and Refund Policy A $50 late fee applies to registrations received after 5:00 p.m. EST on January 29, 2010. A handling fee of $50 will be deducted for cancellation. Refund requests must be received by fax or mail by January 29, 2010. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. Hotel and Travel Information We strongly encourage you to book your accommodations at the Sheraton Inner Harbor Hotel, which is the conference headquarters hotel. The Johns Hopkins Office of CME makes every effort to secure the best rate for overnight accommodations. The rate is part of a negotiated conference package that incorporates many services. By staying at the host hotel and booking within the room block, you help us maintain current conference benefits and keep future registration fees reasonable. Please consider this when making your overnight accommodations decision. Sheraton Inner Harbor Hotel 300 South Charles Street Baltimore, Maryland Phone: (888) 962-8300 or (410) 962-8300 FAX: (410) 962-8211 HOTEL RESERVATION CUT-OFF DATE: JANUARY 4, 2010 The Sheraton Inner Harbor Hotel is centrally located in the heart of Baltimore?s Inner Harbor. Call the Sheraton directly to make your reservation and mention that you are attending the Johns Hopkins Geriatrics course to receive the special group room rate of $109, single or double, plus tax. On-site parking is available at an additional charge. Please see parking information. Check-in time is 3:00 p.m. Call United Airlines at (800) 521-4041 for discounted rates and refer to Meeting ID Number 549TJ. Mileage Plus? miles are available. Activity Evaluation An activity evaluation form will be available to attendees to evaluate each session and each speaker?s presentation, as well as to identify future educational needs. Outcomes Survey An outcomes survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee?s practice. Emergency Calls During the days of this activity only, February 4 - 6, 2010, direct emergency calls to (410) 962-8300 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants. Americans with Disabilities Act The Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing fully comply with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. Registration Form Course Number 80022106 37th Annual Edmund G. Beacham Current Topics in Geriatrics February 4 - 6, 2010 To Register: Online: www.HopkinsCME.edu By fax: (866) 510-7088 By phone (credit card only): (410) 502-9634 Or mail this form to The Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80022106, or include credit card information below. PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION. Please type or print clearly: last name first name middle initial primary degree (for name badge) primary specialty preferred mailing address city state ZIP + 4 code country daytime telephone fax number e-mail / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / You will receive confirmation notice by e-mail if you provide your e-mail address. M Check here if you wish to receive e-mail and/or fax notices about upcoming CME activities. M I plan to stay at the Sheraton Inner Harbor Hotel in Baltimore, Maryland M I will attend the Clinical Shuffle breakout????OR????M I will attend the Nursing breakout What do you hope to learn by attending this activity? Please notify us if you have any special needs. Registration Fees: M Physicians $500 M Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/Allied Health Professionals $400 For registrations received after 5:00 p.m. EST on January 29, 2010, include a $50 late fee. On-site registrations are payable only by credit card. Total amount enclosed $ Payment Type: JHU Faculty/Staff Only: Complete registration form and return with appropriate form below to OCME, Turner 20. M Internal Order Number: The ION Data Request Form, can be found online at http://www.hopkinscme.edu/pdfs/IonRequest.pdf. M Tuition Remission: To apply for TR, go to http://benefits.jhu.edu/EduBenefits/tuitionRemission.cfm. This is a non-credit professional development activity. M Check (See instructions on top of form.) M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX Card # - - - Exp. Date Name on Card Signature & Date