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Canadian Geriatrics Society FRAILTY: THE JOY OF GERIATRICS Annual Scientific Meeting Program Halifax Marriott Harbourfront Hotel May 2-4, 2019

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Page 1: Canadian Geriatrics Society FRAILTY: THE JOY OF ......3 Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax Marriott Harbourfront Hotel Letter from the President Dear conference attendee,

Canadian Geriatrics Society FRAILTY: THE JOY OF GERIATRICS Annual Scientific Meeting Program

Halifax Marriott Harbourfront Hotel May 2-4, 2019

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Frailty: The Joy of Geriatrics Table of Contents

Letter from the President .................................................................................................................3

Letter from the Scientific Planning Committee Chair ............................................................4

General Information ...........................................................................................................................5

5th Annual CGS Fun Run/Walk .........................................................................................................6

Halifax Marriott Harbourfront Hotel Floor Plan ........................................................................7

Exhibitor Floor Plan ............................................................................................................................8

Thursday, May 2, 2019 ....................................................................................................................9

CGS Annual Scientific Meeting, Delegate and Exhibitor Welcome Reception ..............9

Friday, May 3, 2019 ..........................................................................................................................9

Saturday, May 4, 2019 ..................................................................................................................12

Poster Abstracts .................................................................................................................................16

Thank You to Our Sponsors and Exhibitors ..............................................................................25

Wi‑Fi Network: Marriott_CONFERENCE Code: CGS2019

#CGSHALIFAX2019 @CANGERISOC

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Letter from the President

Dear conference attendee,

On behalf of the Canadian Geriatrics Society (CGS), I wish to welcome you to the 39th Annual Scientific Meeting (ASM).

The Scientific Committee has put together a wonderful program based on the theme Frailty: The Joy of Geriatrics. This should appeal to the diverse professional demographic that attends this meeting and makes up our membership.

This year we have three pre-conference events from May 1-2. On May 1st we are excited to provide a pre-conference one-day symposium on continence. This will be followed on May 2nd by the CME day for practitioners who wish to gain practical skills in the care of older adults, and by the popular Resident Education Day, an excellent educational event for residents and students.

The CGS is committed to delivering an informative and innovative meeting. The formal program provides an assortment of engaging plenary sessions delivered by carefully selected speakers along with a selection of workshops that should make your experience at the CGS ASM a positive one. We look forward to your participation and encourage your feedback as we strive to meet the needs of those who attend.

I sincerely hope that you will enjoy the interactions with your colleagues and encourage you to network with others in the diverse field of geriatrics.

Finally, if you are not a member of the Canadian Geriatrics Society, please consider becoming one. If you are a member, thank you for your membership! Should you want to get more involved in the activities of the CGS, we are always looking for energetic people, so please contact us at [email protected].

Thank you for joining us in Halifax. I am anticipating another great ASM! If you encounter any members of the ASM Planning Committee please thank them for the great work they have done on our behalf.

Sincerely,

Frank MolnarCGS President

CGS Board of DirectorsFrank Molnar, President Robert Lam, Vice-PresidentKaren Fruetel, Past PresidentKenneth Madden, Secretary-Treasurer Adrian Wagg, Director-at-LargeManuel Montero-Odasso, Director-at-LargeLesley Charles, Director-at-LargeKrista Whitney, Director-at-Large (Associate Member)

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Letter from the Scientific Planning Committee Chair

Dear conference delegate,

Welcome to the Canadian Geriatrics Society’s 39th Annual Scientific Meeting, and welcome back to Halifax! The last time we held our meeting in Halifax was in 2005. That year we had 45 abstract submissions and I’m not sure of the attendance but it would probably have been around 150 – the Society has grown so much since then. This year we almost tripled our abstract submission, actually receiving a record number for the CGS meetings, and received 126 abstracts.

Being in Halifax, the home of frailty research, we naturally chose the theme of our meeting this year as Frailty: The Joy of Geriatrics. We hope we’ve pulled together an interesting and stimulating program, which will leave you with ideas to incorporate into your practice and questions for the future. Of course, don’t forget the opportunity to share experiences with the other conference attendees, both old friends and new.

If any of you are asked to organize one of these conferences in the future don’t fear! The Secretariat will lead you through the process with the greatest of ease. The outline and structure provided by the Society is simple to follow. Our committee has done great work, with Jasmine Mah and Alex Rogers pulling together a great day for the residents and Gary Altenkirk organizing what is showing all signs of being a popular CME day. My colleagues here in our Dalhousie Division of Geriatric Medicine helped greatly with identifying topics and approaching speakers. Heidi Schmaltz and Barry Goldlist kept us on our toes, making sure the whole thing would be accredited.

Have a great conference,

Chris MacKnightCGS ASM Chair

On behalf of the CGS Board, we would like to thank the 2019 ASM Planning Committee for their hard work in putting this program together!

2019 CGS ASM CommitteeJasmine MahAlexandra RogersGary AltenkirkHeidi SchmaltzBarry GoldlistSherri FayOlga TheouMelissa AndrewGraeme BethuneElizabeth MacDonaldKen RockwoodChris MacKnight

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General Information

RegistrationRegistration is located in the Nova Scotia Foyer on the 2nd floor of the Halifax Marriott Harbourfront Hotel, accessible by elevator or stairs from the main lobby area.

Hours of Operation Thursday, May 2, 2019 07:00 – 19:00Friday, May 3, 2019 07:00 – 16:30Saturday, May 4, 2019 07:30 – 17:30

Name BadgesWearing your name badge is mandatory to attend all sessions and meals at the CGS ASM.

InternetWi-Fi is available throughout the meeting space. Network: Marriott_CONFERENCE Code: CGS2019

EvaluationsYou will receive electronic evaluation forms at the end of the conference. Please remember to complete them as it provides valuable feedback for future meetings.

Accreditation This Group Learning program has been certified by the College of Family Physicians of Canada and Nova Scotia Chapter for up to 16.00 Mainpro+ credits.

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Geriatrics Society. You may claim a maximum of 16 hours (credits are automatically calculated).

Certificate of AttendanceA certificate of attendance will be issued electronically within 30 business days of the conference.

#CGSHALIFAX2019 @CANGERISOC

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Join Us! It is never too late to sign up for this fun annual event! The CGS is excited to host the 5th Annual CGS Fun Run/Walk in support of the Canadian Geriatrics Society Scholarship Foundation. Challenge your colleagues to join you on this 5 km run or 3 km walk in Halifax!

When: Saturday, May the 4th, 2019 at 6:00 a.m. Location: Meet in the lobby of the Halifax Marriott Harbourfront Hotel Details: 5 km run or 3 km walkEntry Fee: $35.00

We Need Your Support! The CGS is committed to improving the care of older adults and has decided, through its Foundation, to promote interest among medical students in the practice of geriatrics. Your donation will help the CGS Scholarship Foundation to achieve this objective.

Visit www.canadiangeriatrics.ca to donate.

5th Annual CGS Fun Run/Walk: The Course Awakens

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Halifax Marriott Harbourfront Hotel Floor Plan

Annapolis

Oxford

SableA

SableB

SableC

SableD

SableDeck

PrivateDiningRoom

Starbucks

Front Desk

HarbourstoneSea Grill & Pour House

GiftShop

Stairs to Boardwalk

Exit to Boardwalk

FrontEntrance

BusinessZone

Acadia Foyer

Stairs to Parkade

Sable Foyer

Pedway to Shops

Halifax Ballroom

Foyer

Nova ScotiaBallroom Foyer

GRO

UN

D F

LOO

RSE

CON

D F

LOO

R

LOBBY

Wi‑Fi Network: Marriott_CONFERENCE Code: CGS2019

#CGSHALIFAX2019 @CANGERISOC

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Plenary RoomNova Scotia Ballroom A B C D

Nova Scotia Ballroom Foyer(Second Floor)

Exhibit Hall Floor Plan

1 Pfizer 2 Pfizer - Bristol-Myers Squibb 3 Aurora 4 Sanofi Pasteur 5 Canadian Institutes of Health Research 6 Alberta Health Services

LEGEND

7 Amgen Canada 8 Creutzfeldt-Jakob Disease

Surveillance System 9 National Geriatrics Interest Group

(NGIG) 10 Resident Geriatrics Interest Group

(RGIG)

FOOD & BEVERAGE

10 9 8 7 6 5 4 3 2 1

FOOD & BEVERAGE

New this year! We invite all delegates to participate in the exhibit hall passport game! By visiting all of the exhibitors, delegates are eligible to win prizes. Please see the registration desk onsite for more information! Visit booths during “Industry Partner Meet and Connect” exhibit times as indicated in the schedule.

The CGS Journal of CME & The Canadian Journal of Geriatrics

Use the Canadian Geriatrics Society CME Journal and/or the Canadian Journal of Geriatrics to collect MOC credits, earn Certified Mainpro+™ credits and further

your professional development!

Visit canadiangeriatrics.ca/ccfp-rcpsc-credits

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Canadian Geriatrics Society

Frailty: The Joy of Geriatrics Annual Scientific Meeting Program

Upon completion of the conference, participants will be able to:

• describe the inter-relationship between geriatric conditions and frailty;• apply the concept of frailty in a variety of medical care settings, including primary care;• expertly manage common chronic conditions in older adults living with frailty; and• identify and access reliable resources to manage frailty in the clinical setting.

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Thursday, May 2, 2019

TIME EVENT LOCATION

16:00 – 19:00 Registration: Check‑In Nova Scotia Foyer, 2nd floor 17:00 – 19:00 Exhibitor and Delegate Welcome Reception

TIME EVENT LOCATION

07:00 – 08:00 Breakfast and Exhibits Nova Scotia Foyer, 2nd floor 07:00 – 08:00 Registration: Check‑In

07:00 – 08:00 Canadian Institutes of Health Research – Institute of Aging (CIHR‑IA) Breakfast Session Reaching the Age of Majority: The Life Trajectory of the CIHR Institute of Aging / Arriver à l’âge de la majorité : La trajectoire de vie de l’Institut du vieillissement des IRSC

Acadia AB, main floor

07:00 – 07:45 Primary Care SIG – Annual Meeting Chairs: Robert Lam and Jean Triscott Primary care physicians and nurse practitioners contribute significantly to the care of older adult Canadians, and are often faced with challenging clinical scenarios. Come join us to share your experiences, exchange ideas with peers, and learn how the Canadian Geriatrics Society can help.

Atlantic Suite, 2nd floor

07:00 – 07:45 Continence SIG – Annual Meeting This inaugural meeting of the Continence SIG will bring together those members with a clinical and research interest in continence with a single agenda item – to discuss and plan a role and action plan for the SIG over the next two years. All with an interest in continence in older people are invited to attend.

Acadia C, main floor

08:00 – 08:15 Welcome and IntroductionsChris MacKnight, CGS 2019 ASM Conference Chair Indigenous BlessingYves Joanette, Scientific Director, CIHR-IA

Nova Scotia ABCD, 2nd floor

Friday, May 3, 2019

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TIME EVENT LOCATION

08:15 – 09:15 Keynote Address

Frailty Is Big, Right? Ken Rockwood

Nova Scotia ABCD, 2nd floor

09:15 – 10:15 Poster Viewing Session Annapolis, main floor

10:15 – 10:45 Industry Partner Meet and Connect Nova Scotia Foyer, 2nd floor

10:45 – 12:00 Concurrent Sessions

Understanding and Treating Falls and Fractures as a Chronic and Combined Condition in Frail Older Adults Chair: Manuel Montero-Odasso Speakers: Jenny Thain, Tahir Masud, Alexandra Papaioannou, Ken Madden

Nova Scotia ABCD, 2nd floor

Falls and Fractures SIG – Annual Meeting We are holding our 4th meeting during our symposium. Please join us to share your experiences dealing with patients with falls and fractures, exchange ideas with peers, and get involved in our future “Falls and Fracture Educational Webinars,” which will be provided under the CGS umbrella.

Biology of Frailty: Insights from Mouse Models Susan Howlett

Halifax A, 2nd floor

Assessment and Management of Frailty in Primary Care Chair: John Muscedere Speakers: Linda Lee, Tejal Patel, Antonia (Annette) Garm, Grace Park, Tim Stultz

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for Thompson Award#1. The Legalization of Medical Marijuana:

Perception and Planning Responses of Nurse Clinical Leaders in Long‑term Care

Raheesa Jina

#2. The Predictive Value of the Clinical Frailty Scale on Complications and Mortality in Older Hip Fracture Patients

Sarah Chan

#3. Efficacy of a Medical Directive to Reduce Inappropriate Indwelling Urinary Catheter Use on Orthopedic Wards

Si Jia Wang

#4. Do Interest Groups Cultivate Interest? Evaluating Career Trajectories Among Geriatric Interest Group Participants

Ari Cuperfain

Sable CD, main floor

Friday, May 3, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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Friday, May 3, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

TIME EVENT LOCATION

10:45 – 12:00 Concurrent Sessions (cont’d)

Oral Abstract Presentations, Eligible for Thompson Award#5. Does Level of Frailty, in Addition to

Geriatrician’s Clinical Impression, Predict Outcomes for Patients with Dementia?

Alexander McCollum

#6. How Residents Perceive and Enact Goals of Caring and Curing When Looking after Older Adults

Rigya Arya

Sable CD, main floor

12:00 – 13:15 Lunch and Exhibits Nova Scotia Foyer, 2nd floor

13:15 – 14:15 Plenary

Sex and Gender Medicine for Frail Older Adults: Proper Care or Propaganda? Cara Tannenbaum

Nova Scotia ABCD, 2nd floor

14:30 – 15:45 Concurrent Sessions

Pragmatic Deprescribing and Medication Optimization Chair: Justin Turner Speakers: Susan Bowles, Laurie Mallery, James L. Silvius

Nova Scotia ABCD, 2nd floor

Exploring New Ways to Teach Geriatrics to Medical Students: The Role of Competencies and How to Include Frailty Speakers: Thiru Yogaparan, Martin Moran

Halifax A, 2nd floor

Brain Health and Wellness Project: Helping Clinicians Promote Patients’ Brain Health, Independence and Wellbeing in Frontline Care Chair: Kiran Rabheru Speakers: Kiran Rabheru, Keri-Leigh Cassidy, Michael Vallis

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for the Réjean Hébert Award#7. Admission Diagnosis of “Failure to Thrive”

in Older Adults is Associated with Delays in Hospital Care

Clara Tsui

#8. Congenital Heart Disease in Seniors: A Retrospective Study

Krista Reich

#9. Effect of Cognitive Training on Daily Function in Older People without Dementia: A Systematic Review

Brian J. Y. Fan

Sable CD, main floor

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Friday, May 3, 2019

TIME EVENT LOCATION

14:30 – 15:45 Concurrent Sessions (cont’d)

Oral Abstract Presentations, Eligible for the Réjean Hébert Award#10. Effectiveness of a Multicomponent

Intervention Sign for Delirium Prevention on an Orthopedic Unit

Christina Reppas-Rindlisbacher

#11. Impact of an Orthogeriatric Collaborative Care Model for Older Adults with Hip Fracture in a Community Hospital Setting

Janice Lee

#12. Prescribing Outcomes of an Interdisciplinary Geriatric Clinical Pharmacology and Psychiatry Telemedicine Service: A Feasibility Study

Eric To

Sable CD, main floor

16:00 – 17:00 CGS Annual General Meeting(members only)

Nova Scotia ABCD, 2nd floor

19:00 CGS Gala Event: Cocktails and Dinner(ticket required)

Casino Nova Scotia, 1983 Upper Water

Street, Halifax

TIME EVENT LOCATION

06:00 – 07:30 5th Annual CGS Fun Run/Walk Meet in the hotel lobby at 6:00 a.m. sharp!

Hotel Lobby

07:30 – 08:30 Breakfast and Exhibits Nova Scotia Foyer, 2nd floor 07:30 – 08:30 Registration: Check‑In

07:30 – 08:15 Deprescribing and Medication Optimization (DeMO) SIG Chairs: Justin Turner and James Silvius Grab a coffee and join us as together we will go “finding DeMO”! Are you interested in deprescribing or are you just curious to learn more about it? Then join our passionate and enthusiastic SIG and see what we have planned for the coming year. During this session, we will discuss what can be done to provide education, tools, resources and support for healthcare providers across Canada to improve patient-centered outcomes through deprescribing and medication optimization. After this session, you will find that there are plenty of DeMO opportunities in the sea!

Acadia C, main floor

Saturday, May 4, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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Saturday, May 4, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

TIME EVENT LOCATION

07:30 – 08:15 Nutrition SIG – Annual Meeting Chair: José A. Morais Nutrition is the cornerstone to healthy aging and since malnutrition has tremendous deleterious effects on health and physical function of older adults, a proposition to create a SIG in nutrition was endorsed by the CGS Executive in 2017. The objectives of this SIG are based on suggestions from members with an interest in nutrition and a goal to share knowledge and experiences, and to advance the field. We held our foundational meeting during the 2018 ASM in Montreal. Membership is comprised of 12 members and the coordinators are Drs. José Morais (Montreal) and Peter Spadafora (Guelph). During the past year, Drs. Morais, Peitsch (Manitoba) and Powers (Ottawa) organized a workshop for the 2019 ASM: Malnutrition in Older Adults: One Cannot Treat What is Not Identified. We are holding our second annual meeting and wish to further develop our activities. Please join us if you find nutrition to be an important aspect of our care, and if you want to become a leader on nutritional issues in your milieu.

Acadia AB, main floor

08:30 – 09:30 Keynote Address

Frailty, Falls and Fractures Tahir Masud

Nova Scotia ABCD, 2nd floor

09:30 – 10:00 Industry Partner Meet and Connect Nova Scotia Foyer, 2nd floor

10:00 – 11:15 Concurrent Sessions

Malnutrition is Linked to Frailty in Older Adults: One Cannot Treat What is Not Identified Chair: José A. Morais Speakers: José A. Morais, Lorraine Peitsch, Barbara Power

Nova Scotia ABCD, 2nd floor

Mobilizing Older Adults in Clinical Settings Olga Theou

Halifax A, 2nd floor

Frailty and Critical Illness Sam Searle

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for the Jack MacDonell Award#13. Factors Associated With a Diagnosis of

Failure to Cope in Older Medical Inpatients: A Case‑Control Study

Alishya Burrell

#14. A Case Study in Medical Assistance in Dying (MAiD) and Frailty

Genevieve Casey

Sable CD, main floor

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TIME EVENT LOCATION

10:00 – 11:15 Concurrent Sessions (cont’d)

Oral Abstract Presentations, Eligible for the Jack MacDonell Award#15. “The Last Medical Stigma”: A Quality

Improvement Project Examining Addressment of Urinary Incontinence in Female Patients Enrolled in the Deer Lodge Center PRIME Program

Alishya Burrell

#16. Improving Outcomes in Geriatric Trauma Patients: A Pilot Project Investigating Geriatric Medicine Consultation in a Tertiary Trauma Centre

Allison Pridham

#17. Describing Practice Patterns Among Geriatric‑Focused Physicians in Ontario by Using Administrative Claims Data

Amina Jabbar

#18. Improving Osteoporosis Treatment In Patients Admitted With A Hip Fracture: A Quality Improvement Project

Armeen Jafri

Sable CD, main floor

11:30 – 12:30 Plenary

Delirium and Long‑term Cognitive Outcomes: Finding Answers in the Population Daniel Davis

Nova Scotia ABCD, 2nd floor

12:30 – 13:45 Lunch, Posters, and Exhibits Nova Scotia Foyer, 2nd floor

andAnnapolis, main floor

12:45 – 13:45 CGS Frailty SIG Chairs: Alexandra Papaioannou and Ken Rockwood Geriatric medicine plays an essential role in leading education, research and clinical care across the frailty spectrum. The CGS Frailty Special Interest Group will aim to create a community of practice amongst geriatricians with an interest in frailty, encouraging collaboration and sharing of expertise and provide a forum through which the CGS can collaborate with external organizations with a shared goal to improve care to the benefit of CGS members and the patients that we care for. We invite you to attend this meeting to learn more!

Acadia C, main floor

Saturday, May 4, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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Saturday, May 4, 2019

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

TIME EVENT LOCATION

13:45 – 15:00 Concurrent Sessions

Influenza and Vaccination in Older Adults Melissa Andrew

Halifax A, 2nd floor

National Guidelines for Older Adults: Prevention, Assessment and Treatment of Alcohol, Benzodiazepine, Cannabis and Opioid Use Disorders Chair: Claire Checkland Speakers: Keri-Leigh Cassidy, Kiran Rabheru, Amanjot Sidhu, Peter Butt

Nova Scotia ABCD, 2nd floor

Using Frailty to Inform Medical and Surgical Decision‑Making Laurie Mallery and Paige Moorhouse

Halifax BC, 2nd floor

Oral Abstract Presentations, Eligible for the Edmund V. Cowdry Award#19. Frailty Impairs Obstacle Negotiation While

Walking: Results from the Gait and Brain Study

Frederico Pieruccini-Faria

#20. Steps per Day Post‑fracture. What’s the Story?

Ahmed Abou-Sharkh

#21. Predictive Validity of Patient Belief and Attitude Questionnaires on Successful Deprescribing Among Older Adults

Justin Turner

#22. The Association of Frailty with Mortality in Emergency Department Patients Referred to Internal Medicine

Mohammad Pulok

#23. Consideration of Medication and Polypharmacy in Frailty Assessment and Screening Tools

Marci Dearing

#24. Usage of Clinical Biomarkers in Frailty Prediction Models

Palina Piankova

Sable CD, main floor

15:05 – 16:05 Plenary

Top 10 Research Papers Maia von Maltzahn

Nova Scotia ABCD, 2nd floor

16:05 – 16:35 CGS Awards, Poster Awards, Oral Abstract Awards and Closing Remarks

Nova Scotia ABCD, 2nd floor

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NO. POSTER ABSTRACT

#25 Real-Time Auditory Feedback Induced Adaptation to Walking Among Seniors Using Heel2Toe Sensor: A Proof-of-Concept StudyAhmed Abou-Sharkh, Kedar Mate, José Morais, Nancy Mayo

#26 Health & Aging Program Interdisciplinary Staff Education Survey: An Education Quality Improvement Initiative Usman Ahmed

#27 Common Typical Features of a Rare But Important Cause of Dementia Usman Ahmed

#28 Outcomes with Biological Disease-modifying Anti-rheumatic Drugs (bDMARDs) in Older Patients Treated for Rheumatoid Arthritis Ripa Akter, Walter Maksymowych, Liam Martin, David Hogan

#29 Educational Goal-Setting on an Inpatient Geriatric Medicine Rotation Jillian Alston, Dov Gandell, Evelyn Cheung

#30 The Function of Care Management to Support Seniors Living in the Community with Combined Medical and Mental Health Concerns – A Multipronged Approach Involving Interprofessional Team, Monpharmacological Approaches and Navigational SupportReenu Arora, Ewa Kundid, Amna Ali, Grace Martin, Judith Versloot

#31 Cognition and Drug Adherence to Oral Hypoglycemic and Antihypertensive Agents in Older Adults Hamzah Bakouni, Lia Gentil, Helen-Maria Vasiliadis

#32 Chronic Diseases Among Seniors – Population-based Data from the Canadian Chronic Disease Surveillance System Sharon Bartholomew, Cynthia Robitaille, Sieara Plebon-Huff

#33 Screening for Older Inpatients at Risk for Long Length of Hospital Stay: Which Clinical Tool to Use?Olivier Beauchet, Shek Fung, Cyrille Launay, Julia Chabot

#34 Prediction of Unplanned Hospital Admissions in Older Community Dwellers Using the 6-Item Brief Geriatric Assessment: Results From REPERAGE, an Observational Prospective Population-based Cohort StudyOlivier Beauchet, Kevin Galery, Julia Chabot, Sylvie Dejager, Sebastien Bineau, Gilles Berrut, Cyrille Launay

#35 Geriatrics in Germany in the Post-2003 DRG Era – Literature Review of Effects on Geriatric Care Christoph Bobrowski

#36 Antipsychotic Stewardship: A Stepping Stone to Addressing Responsive Behaviours in Older Adults Deborah Brown, Jesika Contreras, Mireille Norris, Dov Gandell, Robert Jaunkalns, Barbara Liu

#37 What is Planned for Phase 2 of the CCNA (Canadian Consortium on Neurodegeneration in Aging) Howard Chertkow, Michael Borrie, Kenneth Rockwood, Howard Feldman, Victor Whitehead, Jane Rylett, Kathy McGilton, Sandra Black, Mario Masellis

#38 The Frequency and Quality of Delirium Documentation in Discharge SummariesVictoria Chuen, Adrian Chan, Shabbir Alibhai, Vicky Chau

Poster Abstracts

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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#39 A Scoping Review on the Clinical Frailty Scale Sophie Church, Emily Rogers, Emma Squires, Kenneth Rockwood, Olga Theou

#40 First and Second Year Medical Students’ Attitudes Towards Physical Activity and Its Role in Medical Practice Alyson Colborne, Peri Fenwick, Leah Cahill, Olga Theou

#41 I Don’t Want to Visit Grandma: Gerontophobia and GothicismKrista Collier-Jarvis, Jasmine Mah

#42 Walking Performance Decline Across the Cognitive Spectrum in a Clinical SettingStephanie Cullen, Michael Borrie, Susan Carroll, Manuel Montero-Odasso

#43 Aging Without a Place to Call Home: Comprehensive Review with a Systematic Approach on Pathways into Homelessness for Older AdultsLauren R. Cuthbertson, Kelli Stajduhar, Denise Cloutier

#44 A Needs Assessment for the Implementation of a Geriatric Medicine Online Education ProgramAlex Day, Karen Ng, Eric Wong, Vicky Chau

#45 Self-referral for Cognitive Study Enrollment: An Advertising-based Recruitment Strategy for Participants with Early Cognitive DeclineJoseph Dubé, Julia Truemner, Sarah Best, Patricia Sargeant, Michael Borrie

#46 User Feedback of Electronic Medication Adherence Products for Older Adults: A Qualitative AnalysisSadaf Faisal, Jessica Ivo, Aidan McDougall, Jillian Bauer, Sarah Pritchard, Feng Chang, Tejal Patel

#47 Factors Predicting Health Care Utilization in a Sex-stratified, Older Adult PopulationColin Faulkner, Susan Bronskill, Laura Rosella, Nathan Stall, Rachel Savage, Lynn Zhu, Doug Manuel, Paula Rochon

#48 Medical Students’ Perceptions of Nutrition in Medical Education and Future PracticePeri Fenwick, Alyson Colborne, Olga Theou, Leah Cahill

#49 Long-term Care Admissions Following Hospitalization: The Role of Social VulnerabilityJudith Godin, Karen Black, Olga Theou, Shelly A. McNeil, Melissa K. Andrew

#50 Interventions to Reduce the Rate of Inappropriate Oral Anticoagulant and Antiplatelet Therapy Prescription at Hospital Discharge: A Quality Improvement ReportZhaowei Gong, Haoyuan Song, Samuel Thrall, Xuyi Mimi Wang, Joye St. Onge, Cheryl Allaby, Alexandra Papaioannou

#51 CFS Changes During Geriatric RehabilitationMary Gorman, Michelle MacGrath, Olga Theou, Kenneth Rockwood

#52 Brain Perivascular Space Volume is Associated with Poor Gait Reserve in Vascular Cognitive ImpairmentSeyyed Mohammad Hassan Haddad, Frederico Pieruccini-Faria, Christopher J. M. Scott, Stephen R. Arnott, Miracle Ozzoude, Richard H. Swartz, Jennifer Mandzia, Donna Kwan, Derek Beaton, Robert Bartha, Manuel Montero-Odasso

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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#53 Family and Palliative Care Physicians’ Perceived Barriers, Facilitators and Strategies to Improve Supportive Care at End of Life for Older Adults with Frailty in Long-term Care: A Qualitative Descriptive StudyPatricia Harasym, Sarah Brisbin, Patrick B. Quail, Lorraine Venturato, Aynharan Sinnarajah, Navjot Virk, Sharon Kaasalainen, Tamara Sussman, Heather Hanson, Straus Sharon, Jayna Holroyd-Leduc

#54 Implementing Early Mobility Recommendations for Older Adults After a Fragility Hip Fracture: A Mixed Methods StudyLynn Haslam, Vincent DePaul, Kevin Woo, Catherine Donnelly, Mohammad Auais

#55 Which Comes First, Optimism or Good Health? A Longitudinal Study of Adults Aged 50 to 104Clove Haviva, Olga Theou, Zachary Zimmer, Kenneth Rockwood

#56 Older Adult – Caregiver Dyad Discrepancies in Older Adult’s Capacity to Manage MedicationsJessica Ivo, Sadaf Faisal, Aidan McDougall, Jillian Bauer, Sarah Pritchard, Feng Chang, Tejal Patel

#57 Resistance Training But Not Leucine Can Reverse Frailty by Increasing Basal Muscle Protein Synthesis in Older Women Consuming Optimized Protein IntakeKathryn Jacob, Vita Sonjak, Guy Hajj, Stéphanie Chevalier, Marie Lamarche, José Morais

#58 Impact of Visual, Auditory and Dual Sensory Impairment on Functional Status in Older AdultsAmber Janower, Philip St. John

#59 The Recommended Intakes of Fatty Acids to Prevent Frailty and Mortality in AdultKulapong Jayanama, Olga Theou, Judith Godin, Leah Cahill, Kenneth Rockwood

#60 The Availability of Recreation Therapy Across Horizon Health Network and the Perceived Benefits for SeniorsEmma Jeffrey, Usman Ahmed

#61 Family Physicians’ Perspectives on Advanced Care Planning in Community-Dwelling Elderly: A Qualitative StudyAngela (Tianshu) Ji, Jordan Ho, Margaret McGregor, Janet Kow

#62 The Impact of Cardiac Rehabilitation on Frailty: Do the Frailest Benefit the Most?Scott Kehler, Nicholas Giacomantonio, Wanda Firth, Chris Blanchard, Kenneth Rockwood, Olga Theou

#63 A Comparative Study of Hip Geometry in Older Patients with Acetabular Versus Hip FracturesSara Kelly, Jennifer Thain, Amanda Lorbergs, Richard Crilly

#64 Comparing N100 Latencies Between Mild Cognitive Impairment (MCI) and Cognitively Normal (CN) Subjects Using Event-Related Potentials (ERP) of the NeuroCatchTM PlatformFrank Knoefel, Iman Sabra, Bruce Wallace, Michael Breau, Lisa Sweet, Rafik Goubran, Andrew Frank

#65 Frailty in the Context of Rehabilitation Interventions for Adults: A Scoping ReviewKristina Kokorelias, Shawna Cronin, Parvin Eftekhar, Sarah Munce, Katherine McGilton, Susan Jagal, Shirin Vellani, Chen Wang, Nancy Salbach, Tracey Colella, Pia Kontos, Alisa Grigorovich, Brian Chau, Jill Cameron

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Poster Abstracts

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NO. POSTER ABSTRACT

#66 Creation of an Administrative Triage Tool for an Outpatient Geriatrics ClinicKatie Krause, Barbara Liu

#67 Does Physician Retirement Affect Patients? A Systematic ReviewKenneth Lam, Cameron Arnold, Rachel Savage, Nathan Stall, Lynn Zhu, Wei Wu, Katrina Piggott, Susan Bronskill, Paula Rochon

#68 Collaboration in Dementia Care Between Primary Care Physicians and Specialist Physicians: Does it Exist? A Scoping Review Linda Lee, Ruchi Parikh, Loretta M. Hillier, Stephanie K. Lu, Victoria Gevaert, Sasha Walker

#69 Measuring Quality of Life for Persons Living with Dementia in Primary Care Collaborative Memory Clinics: Is It Feasible?Linda Lee, Stephanie Lu, William Wong, Victoria Gevaert, Susie Gregg

#70 Patient and Healthcare Professional Perspectives on “C5-75”: A Primary Care Program to Identify and Support Older Adults Living with FrailtyLinda Lee, Stephanie Lu, Loretta M. Hillier, Wende Bedirian, Kara Skimson, James Milligan

#71 The Prevalence of Frailty and Sarcopenia in Older Adults Screened for Elective Joint ReplacementMaggie Lovett, Alexandra Papaioannou, Ahmed Negm, George Ioannidis, Danielle Petruccelli, Mitchell Winemaker

#72 A New Behavioural Assessment and Intervention Response Inventory: LuBAIR (in Persons with Dementia)Atul Sunny Luthra

#73 Withdrawn

#74 Frailty and Associated Factors of Old People in Vulnerable Context: A Longitudinal Study in Primary Health CareIsabela Thaís Machado de Jesus, Aline Cristina Martins Gratão, Carla Manuela Crispim Nascimento, Fabiana de Souza Orlandi, Grace Angélica de Oliveira Gomes, Karina Gramani Say, Ariene Angelini dos Santos, Márcia Regina Cominetti, Sofia Cristina Iost Pavarini, Marisa Silvana Zazzetta

#75 Blood Pressure Measurement and the Prevalence of Postprandial HypotensionKen Madden, Boris Feldman, Graydon Meneilly

#76 Do Older Adults with Overactive Bladder Demonstrate Impairment in Executive Function Compared to Their Peers without OAB?Asad Makhani, Sameea Qureshi, Kathleen F. Hunter, Adrian Wagg, William Gibson

#77 Characteristics and Outcomes of Older Patients Presenting to Medical Assessment Unit (MAU): A Retrospective AnalysisMohd Ikhwan Marion, Aiman Monor, Syed Malik, Caoilfhionn O’Donoghue

#78 Developing a Centralized Intake System for Specialized Geriatric Services: Care Provider PerspectivesSharon Marr, Jane McKinnon Wilson, Jeff Doleweerd, Tim Berezny, Loretta M. Hillier

#79 Comprehensive Evaluation of Physical Activity and Potential Function Benefits for Older AdultsAndrea Mayo, Martin Senechal, Jonathan Boudreau, Mathieu Belanger, Danielle Bouchard

#80 The Pictorial Fit-Frail Scale: Feasibility and Reliability in Outpatient SettingsLisa McGarrigle, Emma Squires, Lindsay Wallace, Judith Godin, Mary Gorman, Kenneth Rockwood, Olga Theou

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#81 The Responsiveness of Goal Attainment Scaling in Relation to Goal Number in a Multidisciplinary, Community-based Intervention in Frail Older AdultsLisa McGarrigle, Susan E. Howlett, Kenneth Rockwood

#82 Dementia 2.0: An Exploratory Analysis of Twitter and Health Forum DataNishila Mehta, Lynn Zhu, Wei Wu, Rachel Savage, Kenneth Lam, Ishinder Ghuman, Susan Bronskill, Paula Rochon

#83 Comparison of Treatment Tolerability and Effectiveness in Pulmonary NTM Patients Younger and Older Than 65 Years of Age Mauli Mehta, Sarah Brode, Matty Mehrabi, Vicky Chau, Theodore Marras

#84 Detecting Apathy in Individuals with Parkinson’s Disease: A Systematic ReviewBria Mele, Daria Merrikh, Zahinoor Ismail, Zahra Goodarzi

#85 The Impact of Identifying and Managing Frailty on Post-discharge Care TransitionsSusan Mercer, Kim Babb

#86 Virtual Interactive Patients as an Innovative Tool to Address Geriatric Medicine Needs in Preclerkship and Clerkship CurriculaShara Nauth, Gordon Tait, Dan Liberman, Luke Devine

#87 Distribution of Serotypes Causing Invasive Pneumococcal Disease (IPD) in Older Canadian Adults, According to the Coverage by the Current and Next Generation Pneumococcal Conjugate VaccinesRajeev M. Nepal, Jelena Vojicic, Stephane Dion, Maria Major, Raul E Isturiz

#88 Changes in Gait Speed and Mortality: Where the Past Meets the PresentQuoc Dinh Nguyen

#89 Exploring the Longitudinal Patterns, Polypharmacy and Health Care Use in the Context of Multimorbidity Among Older Adult Primary Health Care Patients in CanadaKathryn Nicholson, Martin Fortin, Lauren Griffith, Amanda Terry, Tyler Williamson, Dee Mangin, Saverio Stranges

#90 The Ethics of Physician-Assisted Suicide and Major Neurocognitive DisordersFelix Pageau

#91 Knowledge Translation: Supporting the Implementation Fracture Prevention Recommendations in Long-Term CareAlexandra Papaioannou, George Ioannidis, Mary-Lou van der Horst, Caitlin McArthur, Loretta M. Hillier, Ravi Jain, Susan Jaglal, Jonathan D. Adachi, Lora Giangregorio

#92 Healthcare Workforce Training in Supporting Family Caregivers of Seniors-in-CareJasneet Parmar, Suzette Brémault-Phillips, Wendy Duggleby, Lesley Charles, Peter George, Jaminal Tian

#93 Fostering Resilience in Family Caregivers of Seniors in CareJasneet Parmar, Lesley Charles, Suzette Brémault-Phillips, Peter George Jaminal Tian

#94 The Feasibility of Implementing the Edmonton Frail Scale (EFS) in Home Care – A Qualitative AnalysisRania Bedaba, Darryl Rolfson, Jasneet Parmar, Suzette Brémault-Phillips

#95 A Primary Care Network-Based Clinical Pathway for Decision-Making Capacity AssessmentLesley Charles, Jacqueline Torti, Jasneet Parmar, Suzette Brémault-Phillips, Bonnie Dobbs, Peter George Jaminal Tian, Sheny Khera, Marjan Abbasi, Karenn Chan, Frances Carr

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Poster Abstracts

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#96 The Care-of-the-Elderly Health GuideJean Triscott, Bonnie Dobbs, Lesley Charles, James Huang, David Moores, Peter George, Jaminal Tian, Judith Cerna

#97 People of DementiaJeffrey Jamieson, Bonnie Dobbs, Lesley Charles, Karenn Chan, Peter George, Jaminal Tian

#98 Transitions in Care from Acute Care to HomeLisa Jensen, Lesley Charles, Claire Johnson

#99 Deprescribing Benzodiazepines in Hospitalized Seniors Using a Patient-Education InterventionFrances Carr, Peter George Jaminal Tian, Jeffrey Chow, Jennifer Guzak, Jean Triscott, Pamela Mathura, Xing Sun, Bonnie Dobbs

#100 Becoming Consciously Competent – Experiences of a Competency by Design Pilot in CalgaryPaula Pearce, Erika Dempsey, Amy Mahon

#101 Thyroid Stimulating Hormone Levels and Geriatric Syndromes: A Nested in Cohort Case-Control Secondary Analysis of the Mexican Health and Aging StudyUlises Pérez-Zepeda, Miguel-German Borda, Paloma Almeda-Valdés, Matteo Cesari

#102 Person-Centred Language for Responsive Behaviours: A Product of a Senior Friendly Community of Practice (Preliminary Results)Mary-Lynn Peters, Sylvia Davidson, Katherine Reece, Nicole Spira, Christopher Uranis, Lori Whelan, David Patrick Ryan, Deborah Margaret Brown

#103 Azathioprine Induced DeliriumAditi Saha, Shanojan Thiyagalingam, Jessica Wachtel, Dhanasekaran Ramasamy

#104 An Analysis of Pain in Older Adults Admitted to a Trauma ServiceKozue Schmidt, Sonia Nobleza, Cailie Gordon, Melody Hung, Lynn Haslam, Mariana Thangaraja, Dov Gandell

#105 In Acutely Hospitalized Older Individuals, Standard Laboratory Tests Measured on Admission Identify Those with Short- and Long-term Adverse OutcomesSamuel D. Searle, Hugh Logan Ellis, David Ramlakhan, Daniel Davis

#106 Telehealth and the Rural Dementia Population: A Systematic ReviewHarmehr Sekhon, Olivier Beauchet

#107 Development of a Standalone Electronic Frailty Index Based on the Comprehensive Geriatric Assessment (eFI-CGA)Kattie Sepehri, Xiaowei Song, Betty Chinda, McKenzie Braley, Macy Zou, Brandon Tang, Antonina Garm, Grace Park, Kenneth Rockwood

#108 Sex Differences in Motor and Cognitive Trajectories before DementiaLuxey Sirisegaram, Yanina Sarquis-Adamson, Manuel Montero-Odasso

#109 Integration of Geriatrics Content into the Foundations Curriculum – Student PerspectivesJeff Smallbone, Ada Posner, Thirumagal Yogaparan

#110 Validation of the Frailty Index Based on the Comprehensive Geriatric Assessment (eFI-CGA) on the Electronic Medical Records System (EMR)Xiaowei Song, Grace Park, Antonina Garm, Ron Kelly, Sonia Singh, Kate Keetch, Samar Heiazi, Macy Zou, Mckenzie Braley, Betty Chinda Joyce Sandercock, Casper Shyr, Ryan D’Arcy, Robert McDermid, Olga Theou, Barry Clarke, Kenneth Rockwood

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

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#111 Self-rated Health and the Risk of Mortality in the Manitoba Follow-up StudyPhilip St. John, Christian Hanson, Robert Tate

#112 Do Not Resuscitate: What Does It Mean?Shanojan Thiyagalingam, Nikhil Shah, Jordan Resnick, Saad Amin, Saima Manzoor, Nirav Mistry, Kristin Fless, Fariborz Rezai, Vagram Ovnanian, Paul Yodice

#113 The Pearly Bird Gets the Worm: A Qualitative and Quantitative Analysis of the Geriatric Update: Clinical Pearls ConferenceLindsay Torbiak, Heidi Schmaltz

#114 Description of the Population of Older Adults with Dementia in Nova Scotia 2005-2018Shanna Trenaman, Susan Bowles, Susan Kirkland, Melissa Andrew

#115 Geriatric Pharmacology Infographics: Efficient Knowledge Translation of Medication Optimization for Clinicians Caring for Older Adults Jennifer Tung, R. Jack Bodkin, Karen Wang, Vithusha Ganesh, Cameron Neat, Caylee Raber, Sophiya Benjamin, Howard An, Nadia Beyzaei, Curtis Lau, Fiona Lee, Lindsay Cox, Joanne Ho

#116 Defining Minimally Important Difference for the Frailty Index in a Longitudinal Clinical Cohort of Hospitalized Older PatientsAlex van der Valk, Olga Theou, Judith Godin, Melissa Andrew, Janet McElhaney, Shelly McNeil, Kenneth Rockwood

#117 A Cognitive Vital Sign for Daily Delirium Screening on an Acute Care of the Elderly Unit: How Feasible is It?Timothy Wong, Jennifer Thain, Laurie McKellar, Monidipa Dasgupta, Akshya Vasudev, Amer Burhan, Niamh O’Regan

#118 Self-rated Health and Mortality after Non-cardiac SurgeryCaleb Yeung, Philip St. John, Sadeesh Srinathan

#119 Mapping Items in the Construction of the Frailty Index Using Comprehensive Geriatric Assessment and InterRAI DatasetsMacy Zou, Ron Kelly, Betty Chinda, Mckenzie Braley, Rabiah Dhaliwal, Grace Park, Annette Garm, Robert McDermid, Kenneth Rockwood, Xiaowei Song

Disclaimer: Speaker opinions and presentations are their own and not necessarily supported by the Canadian Geriatrics Society.

Wi‑Fi Network: Marriott_CONFERENCE Code: CGS2019

#CGSHALIFAX2019 @CANGERISOC

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Page 24: Canadian Geriatrics Society FRAILTY: THE JOY OF ......3 Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax Marriott Harbourfront Hotel Letter from the President Dear conference attendee,

From med school to retirement, MD has your financial needs covered.

MD s’occupe de vos besoins financiers, des études à la retraite.

Visit md.ca Rendez-vous à md.ca

Banking and credit products and services are offered by The Bank of Nova Scotia “Scotiabank”. Credit and lending products are subject to credit approval by Scotiabank. • Insurance products are distributed by MD Insurance Agency Limited. All MD employees dealing with clients regarding insurance products hold life licences. • Estate and trust services are offered through MD Private Trust Company. • The information contained in this document is not intended to offer foreign or domestic taxation, legal, accounting or similar professional advice, nor is it intended to replace the advice of independent tax, accounting or legal professionals. Incorporation guidance is limited to asset allocation and integrating corporate entities into financial plans and wealth strategies. Any tax-related information is applicable to Canadian residents only and is in accordance with current Canadian tax law including judicial and administrative interpretation. The information and strategies presented here may not be suitable for U.S. persons (citizens, residents or green card holders) or non-residents of Canada, or for situations involving such individuals. Employees of the MD Group of Companies are not authorized to make any determination of a client’s U.S. status or tax filing obligations, whether foreign or domestic. The MD ExO® service provides financial products and guidance to clients, delivered through the MD Group of Companies (MD Financial Management Inc., MD Management Limited, MD Private Trust Company, MD Life Insurance Company and MD Insurance Agency Limited). For a detailed list of these companies, visit md.ca. MD Financial Management provides financial products and services, the MD Family of Funds and investment counselling services through the MD Group of Companies.

Les produits et services bancaires et de crédit sont offerts par La Banque de Nouvelle-Écosse (la « Banque Scotia »). Les produits de crédit et de prêts sont soumis à une approbation du crédit par la Banque Scotia. • Les produits d’assurance sont distribués par l’Agence d’assurance MD limitée. Tous les employés de MD qui proposent aux clients des produits ou des services en matière d’assurance détiennent un permis d’assureur vie. • Les services successoraux et fiduciaires sont offerts par la Société de fiducie privée MD. • L’information contenue dans le présent document ne doit pas être interprétée comme des conseils professionnels d’ordre fiscal, juridique, comptable ou de nature similaire applicables en contexte canadien ou étranger, et elle ne saurait en aucun cas remplacer les conseils d’un fiscaliste, d’un comptable ou d’un conseiller juridique indépendant. Les recommandations sur la constitution en société se limitent à la répartition de l’actif et à l’intégration des personnes morales dans les plans financiers et les stratégies de gestion de patrimoine. Toute information d’ordre fiscal ne s’applique qu’aux résidents canadiens et s’appuie sur le droit canadien de l’impôt en vigueur, notamment sur l’interprétation judiciaire et administrative en la matière. L’information et les stratégies ci-indiquées peuvent ne pas convenir aux personnes des États-Unis (citoyens, résidents ou détenteurs d’une carte verte) ou aux non-résidents du Canada, ni dans des situations mettant en cause de telles personnes. Les employés du groupe de sociétés MD ne sont pas habilités à déterminer si un client est considéré comme une personne des États-Unis ou soumis à des obligations de déclaration de revenus, au Canada ou à l’étranger. Le service ExO MDMD offre aux clients des conseils et des produits financiers par l’entremise du groupe de sociétés MD (Gestion financière MD inc., Gestion MD limitée, la Société de fiducie privée MD, la Société d’assurance vie MD et l’Agence d’assurance MD limitée). Pour obtenir une liste détaillée de ces sociétés, veuillez consulter notre site à l’adresse md.ca. Gestion financière MD offre des produits et services financiers, la famille de fonds MD et des services-conseils en placement par l’entremise du groupe de sociétés MD.

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195400-Generic MD ad-5.5x8.5-EF.indd 1 2019-04-03 2:13 PM

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From med school to retirement, MD has your financial needs covered.

MD s’occupe de vos besoins financiers, des études à la retraite.

Visit md.ca Rendez-vous à md.ca

Banking and credit products and services are offered by The Bank of Nova Scotia “Scotiabank”. Credit and lending products are subject to credit approval by Scotiabank. • Insurance products are distributed by MD Insurance Agency Limited. All MD employees dealing with clients regarding insurance products hold life licences. • Estate and trust services are offered through MD Private Trust Company. • The information contained in this document is not intended to offer foreign or domestic taxation, legal, accounting or similar professional advice, nor is it intended to replace the advice of independent tax, accounting or legal professionals. Incorporation guidance is limited to asset allocation and integrating corporate entities into financial plans and wealth strategies. Any tax-related information is applicable to Canadian residents only and is in accordance with current Canadian tax law including judicial and administrative interpretation. The information and strategies presented here may not be suitable for U.S. persons (citizens, residents or green card holders) or non-residents of Canada, or for situations involving such individuals. Employees of the MD Group of Companies are not authorized to make any determination of a client’s U.S. status or tax filing obligations, whether foreign or domestic. The MD ExO® service provides financial products and guidance to clients, delivered through the MD Group of Companies (MD Financial Management Inc., MD Management Limited, MD Private Trust Company, MD Life Insurance Company and MD Insurance Agency Limited). For a detailed list of these companies, visit md.ca. MD Financial Management provides financial products and services, the MD Family of Funds and investment counselling services through the MD Group of Companies.

Les produits et services bancaires et de crédit sont offerts par La Banque de Nouvelle-Écosse (la « Banque Scotia »). Les produits de crédit et de prêts sont soumis à une approbation du crédit par la Banque Scotia. • Les produits d’assurance sont distribués par l’Agence d’assurance MD limitée. Tous les employés de MD qui proposent aux clients des produits ou des services en matière d’assurance détiennent un permis d’assureur vie. • Les services successoraux et fiduciaires sont offerts par la Société de fiducie privée MD. • L’information contenue dans le présent document ne doit pas être interprétée comme des conseils professionnels d’ordre fiscal, juridique, comptable ou de nature similaire applicables en contexte canadien ou étranger, et elle ne saurait en aucun cas remplacer les conseils d’un fiscaliste, d’un comptable ou d’un conseiller juridique indépendant. Les recommandations sur la constitution en société se limitent à la répartition de l’actif et à l’intégration des personnes morales dans les plans financiers et les stratégies de gestion de patrimoine. Toute information d’ordre fiscal ne s’applique qu’aux résidents canadiens et s’appuie sur le droit canadien de l’impôt en vigueur, notamment sur l’interprétation judiciaire et administrative en la matière. L’information et les stratégies ci-indiquées peuvent ne pas convenir aux personnes des États-Unis (citoyens, résidents ou détenteurs d’une carte verte) ou aux non-résidents du Canada, ni dans des situations mettant en cause de telles personnes. Les employés du groupe de sociétés MD ne sont pas habilités à déterminer si un client est considéré comme une personne des États-Unis ou soumis à des obligations de déclaration de revenus, au Canada ou à l’étranger. Le service ExO MDMD offre aux clients des conseils et des produits financiers par l’entremise du groupe de sociétés MD (Gestion financière MD inc., Gestion MD limitée, la Société de fiducie privée MD, la Société d’assurance vie MD et l’Agence d’assurance MD limitée). Pour obtenir une liste détaillée de ces sociétés, veuillez consulter notre site à l’adresse md.ca. Gestion financière MD offre des produits et services financiers, la famille de fonds MD et des services-conseils en placement par l’entremise du groupe de sociétés MD.

• Financial Planning for your whole family• Investments to help you achieve growth

and income• Insurance to help you build, protect and

share your wealth• Estate and Trust Planning for your

security and legacy• Banking and Borrowing access for

your day-to-day needs• Medical Practice Incorporation

guidance to help you make key decisions

• Planification financière pour toute votre famille

• Placements axés sur la croissance et le revenu• Solutions d’assurance pour protéger, faire

fructifier et transmettre votre patrimoine• Planification successorale et fiduciaire

pour votre sécurité et votre legs• Accès à des services bancaires et à

des prêts pour vos besoins courants• Recommandations sur la constitution

en société pour vous aider à prendre des décisions importantes

195400-Generic MD ad-5.5x8.5-EF.indd 1 2019-04-03 2:13 PM

This program has received educational grants from the following:

Thank You to Our Sponsors and Exhibitors!

Platinum

Gold Silver

Exhibitors

Contributors

Creutzfeldt-Jakob Disease Surveillance System

National Geriatrics Interest Group (NGIG)

Resident Geriatrics Interest Group (RGIG)

Institute of Aging

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Page 28: Canadian Geriatrics Society FRAILTY: THE JOY OF ......3 Frailty: The Joy of Geriatrics May 2-4, 2019 Halifax Marriott Harbourfront Hotel Letter from the President Dear conference attendee,

www.canadiangeriatrics.ca

20 Crown Steel Drive, Unit 6Markham, Ontario L3R 9X9

Local: (289) 846-5380Toll Free: 1-855-415-3917Fax: (905) 415-0071

Association and conference management proudly provided by

www.secretariatcentral.com